| NPI | 1932436367 |
|---|---|
| Former Name | SARAH E STUPAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV PT002720) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT012315) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2014-04-22 |