Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology |
NPI | 1558955815 |
---|---|
Provider Name | Sara Foster Blass |
First Address | Nashville, TN 37211-2904 |
Second Address | Nashville, TN 37232-0014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2021 |
Last Update Date | 25/02/2021 |