Susette Damron

NPI #1013497460 in Southlake, Texas

Provider Information

NPI Number: 1013497460
Entity Type: Individual
Name: Susette Damron
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 15, 2018
Last Updated: Aug 15, 2018

Practice Location

Address: 170 STONEBRIDGE LN
City: Southlake
State: Texas
ZIP Code: 76092-0306
Phone: (817) 905-5875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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