| NPI | 1699223933 |
|---|---|
| Former Name | SARA DIXON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61219477) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1279091) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 296660) | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2023-08-08 |