Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 8753 | MA |
NPI | 1033357389 |
---|---|
Provider Name | Sandra Lee Klapprodt |
First Address | Ayer, MA 01432-1171 |
Second Address | Ayer, MA 01432-1171 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2009 |
Last Update Date | 24/01/2009 |