Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | ||
Y | 2251P0200X | Physical Therapist - Pediatrics | 10062 | SC |
NPI | 1134769219 |
---|---|
Provider Name | Sarah Elizabeth Padgett |
First Address | Greenville, SC 29615-4536 |
Second Address | Greenville, SC 29601-2629 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2020 |
Last Update Date | 16/01/2020 |