NPI | 1851928683 |
---|---|
Former Name | SARAH GRACE STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: MA 25442) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 2423) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2021-09-10 |