Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 5243 | |
Y | 2251P0200X | Physical Therapist - Pediatrics | 5243 | MN |
NPI | 1003041575 |
---|---|
Provider Name | Sarah Reif Delgiudice |
First Address | Scandia, MN 55073-9528 |
Second Address | New Hope, MN 55428-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2009 |
Last Update Date | 12/03/2021 |