Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 11284 | NC |
Y | 225100000X | Physical Therapist | 2305206106 | VA |
N | 225100000X | Physical Therapist | PT019019 | PA |
NPI | 1003001983 |
---|---|
Provider Name | Mrs. Rorie Saddhra |
First Address | Vinton, VA 24179 |
Second Address | Vinton, VA 24179-2247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2007 |
Last Update Date | 10/09/2021 |