Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 4297 | NC |
NPI | 1003087602 |
---|---|
Provider Name | Sandra L Mehrer |
First Address | Apex, NC 27539-5704 |
Second Address | Boone, NC 28607-8613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2008 |
Last Update Date | 22/03/2008 |