Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | ||
N | 2251N0400X | Physical Therapist - Neurology | P19894 | NC |
NPI | 1619583051 |
---|---|
Provider Name | Colin Sauter |
First Address | Durham, NC 27705-8827 |
Second Address | Durham, NC 27705-4699 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2020 |
Last Update Date | 02/11/2020 |