| NPI | 1225757594 |
|---|---|
| Former Name | SUZANNE MICHELLE CUMMINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WY 1095) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO 7206) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |