| NPI | 1235517251 |
|---|---|
| Former Name | SUSAN C GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 61174149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT006411) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-10-13 |