MR. John J Susan, LPTA

NPI #1174785778 in Debary, Florida

Provider Information

NPI Number: 1174785778
Entity Type: Individual
Name: MR. John J Susan, LPTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Jun 26, 2008
Last Updated: Jul 8, 2010

Practice Location

Address: 147 HOMESTEAD AVE
City: Debary
State: Florida
ZIP Code: 32713-3875
Phone: (386) 668-1156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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