NPI | 1891171757 |
---|---|
Former Name | SARA STANOVCAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OH 012826) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: OH PT012826) |
Enumeration Date | 2015-08-03 |
Last Update Date | 2025-04-09 |