MRS. Susan Kay Port

NPI #1710227509 in Florence, Wisconsin

Provider Information

NPI Number: 1710227509
Entity Type: Individual
Name: MRS. Susan Kay Port
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Feb 15, 2013
Last Updated: Feb 15, 2013

Practice Location

Address: 5778 CHAPIN ST
City: Florence
State: Wisconsin
ZIP Code: 54121-9443
Phone: (715) 696-3605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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