| NPI | 1285975565 |
|---|---|
| Former Name | SUZANNE GILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AK 130650) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 19882) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2019-01-10 |