NPI | 1134524879 |
---|---|
Former Name | SUZANNE MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5426-24) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 15011) |
Enumeration Date | 2014-10-23 |
Last Update Date | 2025-01-14 |