Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 36150 | FL |
N | 2251G0304X | Physical Therapist - Geriatrics | 36150 | FL |
N | 2251N0400X | Physical Therapist - Neurology | 36150 | FL |
NPI | 1366033367 |
---|---|
Provider Name | Sarah Kim Tuttle |
First Address | Lake Worth, FL 33467-7649 |
Second Address | Lake Worth, FL 33460-6013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2021 |
Last Update Date | 01/02/2021 |