| NPI | 1679533293 |
|---|---|
| Former Name | SADIE JANE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist Sports (Licence: WI 10355-024) |
| Additional Taxonomies | 2251S0007X Physical Therapist Sports (Licence: MN 7899) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2009-09-15 |