Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT019164 | OH |
NPI | 1003490335 |
---|---|
Provider Name | Ms. Abigail Elizabeth Saner |
First Address | Xenia, OH 45385-7081 |
Second Address | Dayton, OH 45414-5800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2021 |
Last Update Date | 12/05/2021 |