NPI | 1649454968 |
---|---|
Former Name | SUE A PALTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MI 5501018753) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070008324) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2024-12-31 |