NPI | 1649766528 |
---|---|
Former Name | CARRIE ELIZABETH SAWYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA 005959) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: GA LC000165) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2020-02-20 |