| NPI | 1922329648 |
|---|---|
| Former Name | SUSAN M PONZURIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 5224) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 5224) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2024-03-22 |