NPI | 1922264217 |
---|---|
Former Name | SARAH MAXWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL-10017) |
Additional Taxonomies | 171000000X Military Health Care Provider (Licence: CO PTL-10017) |
Enumeration Date | 2008-08-06 |
Last Update Date | 2023-08-09 |