Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 293543 | CA |
NPI | 1356850218 |
---|---|
Provider Name | Sara Dinkin |
First Address | Redwood City, CA 94062-2730 |
Second Address | Redwood City, CA 94063-2037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2017 |
Last Update Date | 03/01/2022 |