| NPI | 1043593627 |
|---|---|
| Other Name | EILEEN MARIE AUSEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012379-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT003456L) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |