| NPI | 1649433327 |
|---|---|
| Former Name | SARA EVA BERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2794) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004232) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2012-04-10 |