Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 4304 | SC |
NPI | 1003002940 |
---|---|
Provider Name | Mrs. Sarah Amy Fox Maurer |
First Address | Charleston, SC 29412-3090 |
Second Address | Charleston, SC 29412-3090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2007 |
Last Update Date | 04/01/2008 |