NPI | 1174546774 |
---|---|
Former Name | AMY SUCHANEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 27962) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 8206) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2008-05-03 |