| NPI | 1538619945 |
|---|---|
| Former Name | SUSAN G WEISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070-013331) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 082447) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |