| NPI | 1578779179 |
|---|---|
| Former Name | SARAH ELIZABETH SACKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 9445) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 23011) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-04-08 |