| NPI | 1871666727 |
|---|---|
| Former Name | PEGGY SUE AIKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 02104) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-05-23 |