Susan Sculley, CPTA

NPI #1194836130 in De Soto, Kansas

Provider Information

NPI Number: 1194836130
Entity Type: Individual
Name: Susan Sculley, CPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: CPTA
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 33600 W 85TH ST
City: De Soto
State: Kansas
ZIP Code: 66018-8118
Phone: (913) 585-1602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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