| NPI | 1750470746 |
|---|---|
| Former Name | SARA JEAN HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 2021) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 9288) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-08-22 |