NPI | 1497701668 |
---|---|
Former Name | SUSAN OBRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 35635) |
Additional Taxonomies | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: CO 333) |
2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: CO 131) | |
Enumeration Date | 2006-05-26 |
Last Update Date | 2025-04-24 |