Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 27792 | FL |
NPI | 1013432095 |
---|---|
Provider Name | Sarah Lindquist |
First Address | Deland, FL 32720-3613 |
Second Address | Sanford, FL 32771-1013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2017 |
Last Update Date | 10/08/2017 |