| NPI | 1932184793 |
|---|---|
| Former Name | PAULA LYNN SORG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06000446A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: OH PTA 05471) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2007-07-08 |