| NPI | 1821478595 |
|---|---|
| Former Name | SARA TULLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3681) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KS 1105188) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2022-07-21 |