NPI | 1346499969 |
---|---|
Former Name | SUSAN MICHELE BROWDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305205401) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 9071) |
Enumeration Date | 2008-09-18 |
Last Update Date | 2023-04-27 |