Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 14486 | OH |
N | 226300000X | Kinesiotherapist |
NPI | 1487618716 |
---|---|
Provider Name | Miss Sarah Ann Virost |
First Address | Chagrin Falls, OH 44023-5861 |
Second Address | Chagrin Falls, OH 44023-5861 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 09/07/2015 |