MR. Jeffrey S Sustaire

NPI #1265865224 in Richardson, Texas

Provider Information

NPI Number: 1265865224
Entity Type: Individual
Name: MR. Jeffrey S Sustaire
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 14, 2013
Last Updated: Aug 14, 2013

Practice Location

Address: 1211 BERKELEY DR
City: Richardson
State: Texas
ZIP Code: 75081-5932
Phone: (903) 268-7675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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