Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 13498-24 | WI |
Y | 2251N0400X | Physical Therapist - Neurology | 13498-24 | WI |
NPI | 1669995908 |
---|---|
Provider Name | Sarah Helen Lyrata |
First Address | Anchorage, AK 99508-5925 |
Second Address | Anchorage, AK 99508-5925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2017 |
Last Update Date | 28/12/2021 |