NPI | 1851709422 |
---|---|
Former Name | SARA WOODWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: FL 30333) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT011519) |
Enumeration Date | 2014-07-28 |
Last Update Date | 2020-12-22 |