| NPI | 1043289689 |
|---|---|
| Former Name | SUSAN M BARRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501002569) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: SC 3812) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |