| NPI | 1588040430 |
|---|---|
| Former Name | SUSAN JILL HUXLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT029582) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WV PT003529) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2022-06-15 |