NPI | 1609434448 |
---|---|
Former Name | SARAH ANN WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2019006629) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070016697) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2021-09-13 |