NPI | 1760939961 |
---|---|
Former Name | SARAH ELIZABETH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2016033583) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 041716) |
225100000X Physical Therapist (Licence: OH 016125) | |
Enumeration Date | 2016-09-06 |
Last Update Date | 2022-05-18 |