NPI | 1538336714 |
---|---|
Former Name | SUSAN MUSSELMAN SCHULZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT005333L) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: PA PT005333L) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2008-05-15 |