Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 010288 | GA |
NPI | 1245643626 |
---|---|
Provider Name | Sarah Caston |
First Address | Atlanta, GA 30329-1627 |
Second Address | Atlanta, GA 30329-1627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 03/06/2014 |