| NPI | 1609031061 |
|---|---|
| Former Name | SUSAN BAUMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 11618-24) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-10-08 |