NPI | 1952700825 |
---|---|
Former Name | SARA ELIZABETH HELDMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05015138A) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21248) |
Enumeration Date | 2014-08-17 |
Last Update Date | 2024-01-29 |