NPI | 1871659110 |
---|---|
Former Name | SARA ANNE LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026599-1) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA1714000) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2019-11-15 |