NPI | 1578803490 |
---|---|
Former Name | SARA R WOELFEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501301733) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: 2305207472) |
Enumeration Date | 2013-03-01 |
Last Update Date | 2025-01-03 |