Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 2305207135 | VA |
NPI | 1003230186 |
---|---|
Provider Name | Dr. Sarah Steinruck |
First Address | Roanoke, VA 24015-4617 |
Second Address | Roanoke, VA 24016-1427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |