| NPI | 1659664290 |
|---|---|
| Former Name | SARA KATHLEEN EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006106) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT001776) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2015-05-19 |