Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 2006035376 | MO |
NPI | 1083805204 |
---|---|
Provider Name | Mrs. Sariya Desiree Saabye |
First Address | Saint Louis, MO 63119-3729 |
Second Address | St. Louis, MO 63119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 05/08/2007 |