| NPI | 1710928262 |
|---|---|
| Former Name | SARA L BOOHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO R0835) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MO 2013003489) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2013-09-19 |