NPI | 1629365465 |
---|---|
Former Name | SARAH MARIE SCHULTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 004498) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-04238) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2019-12-11 |