| NPI | 1952336265 |
|---|---|
| Former Name | SUZANNE R JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 538) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MN 2824) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-11-09 |