Individual
MISS SARA CHRISTINE SISOUTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3325 PATE WAY, ANNA, TX 75409-8459
(972) 838-2602
Mailing address
3325 PATE WAY, ANNA, TX 75409-8459
(972) 838-2602
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2110040
TX
Other
Enumeration date
08/24/2015
Last updated
08/08/2024
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