| NPI | 1255573069 |
|---|---|
| Former Name | SUSAN ELIZABETH DELAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5054) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 9324) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |