| NPI | 1982150553 |
|---|---|
| Former Name | SUZANNE OUVRARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.024426) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13607-24) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2020-11-17 |