| NPI | 1437343241 |
|---|---|
| Former Name | SUSANNA LUCINDA PAPPA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00010860) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 10860) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2016-08-18 |