NPI | 1861006546 |
---|---|
Former Name | SARAH JOY CUNDIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT61434778) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9913) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2023-10-20 |