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 |