| NPI | 1023046232 |
|---|---|
| Former Name | SUSAN ELIZABETH BROWN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: WI 10565-024) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WI 10565-024) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2020-11-02 |