NPI | 1912386939 |
---|---|
Former Name | SARAH ELIZABETH DEARDURFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 10355) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT014369) |
Enumeration Date | 2015-05-22 |
Last Update Date | 2023-03-08 |