NPI | 1821422387 |
---|---|
Former Name | SARAH ANN BAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04692) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2013031916) |
Enumeration Date | 2013-09-02 |
Last Update Date | 2013-09-02 |