MRS. Susan E Loomis, PT

NPI #1104100742 in Granville, New York

Provider Information

NPI Number: 1104100742
Entity Type: Individual
Name: MRS. Susan E Loomis, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 30, 2011
Last Updated: Sep 30, 2011

Practice Location

Address: 61 QUAKER ST
City: Granville
State: New York
ZIP Code: 12832-1529
Phone: (518) 642-9460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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