NPI | 1831403393 |
---|---|
Former Name | SARAH VIRGINIA WINANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10217) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501011366) |
Enumeration Date | 2010-07-27 |
Last Update Date | 2022-03-14 |