| NPI | 1326195710 |
|---|---|
| Former Name | SUSAN ALFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0006257) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: CO PTL.0006257) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CO AT.0000716) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2017-11-10 |