Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT37373 | FL |
NPI | 1063189355 |
---|---|
Provider Name | Sabrina Baxter |
First Address | Delray Beach, FL 33483-3227 |
Second Address | Delray Beach, FL 33483-3227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2021 |
Last Update Date | 25/08/2021 |