| NPI | 1902307929 |
|---|---|
| Former Name | LAURA SUCHOCKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015169) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC P17657) |
| 225100000X Physical Therapist (Licence: WA PT60996989) | |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2024-04-24 |