| NPI | 1740205103 |
|---|---|
| Professional Name | SUSAN ELIZABETH LOFGREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2446) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 03965) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-02-18 |