NPI | 1689653719 |
---|---|
Former Name | SARAH E LEROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.016832) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 11-03491) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2015-02-19 |