NPI | 1922192020 |
---|---|
Former Name | SUSANNE MANNSPERGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 5066) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 17619) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |