| NPI | 1710220165 |
|---|---|
| Former Name | SUE DANIELS SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT38030) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2022-04-18 |