| NPI | 1811357171 |
|---|---|
| Former Name | TARA SAWEZYSZYN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT019949) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT019949) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2026-07-06 |