Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | ||
Y | 2251P0200X | Physical Therapist - Pediatrics | PT002026E | PA |
NPI | 1043443153 |
---|---|
Provider Name | Kirsten Anne Sensbach |
First Address | Easton, MD 21601-3657 |
Second Address | Easton, MD 21601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2009 |
Last Update Date | 18/12/2018 |