Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 030005-1 | NY |
N | 225100000X | Physical Therapist | 12012 | CT |
NPI | 1003144056 |
---|---|
Provider Name | Sarah Todd |
First Address | Chappaqua, NY 10514-1715 |
Second Address | Chappaqua, NY 10514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2009 |
Last Update Date | 05/12/2019 |