NPI | 1952389488 |
---|---|
Former Name | SANDRA K KNUDSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NM 3099) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NM 3099) |
Enumeration Date | 2006-01-05 |
Last Update Date | 2023-01-06 |