| NPI | 1508085952 |
|---|---|
| Former Name | SUE ERICSON BRANSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P19920) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 01748) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2023-12-13 |