NPI | 1437534781 |
---|---|
Former Name | SUSAN RHEA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: ID PT-6737) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 3671) |
Enumeration Date | 2015-07-28 |
Last Update Date | 2022-04-26 |