NPI | 1417019779 |
---|---|
Former Name | SUSAN FRANCES SEDIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070006125) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 4464) |
Enumeration Date | 2006-12-14 |
Last Update Date | 2021-02-08 |