| NPI | 1700338381 |
|---|---|
| Former Name | SUZANNE PROBST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 040277) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 040277) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2023-03-30 |