NPI | 1558926212 |
---|---|
Former Name | SARAH E BULL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ME 3242) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NH 1660) |
Enumeration Date | 2019-05-07 |
Last Update Date | 2019-05-07 |