| NPI | 1952420218 |
|---|---|
| Former Name | SUZANNE RAE JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: ND 0809) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021375-1) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2019-03-07 |