Michael David Supp, MSPT

NPI #1326237728 in Hollidaysburg, Pennsylvania

Provider Information

NPI Number: 1326237728
Entity Type: Individual
Name: Michael David Supp, MSPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Oct 22, 2007
Last Updated: Oct 22, 2007

Practice Location

Address: 605 ALLEGHENY ST
City: Hollidaysburg
State: Pennsylvania
ZIP Code: 16648-2001
Phone: (814) 695-1093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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