| NPI | 1518785112 |
|---|---|
| Former Name | AMY SUZANNE BARLAGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: MI 5501011299) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: MI 5501011299) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: MI 5501011299) | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |