| NPI | 1821360892 |
|---|---|
| Former Name | AMANDA SKUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 008896) |
| 225100000X Physical Therapist (Licence: WA PT60868949) | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2022-11-02 |