Susan K North, PTA

NPI #1902079361 in Randolph, Wisconsin

Provider Information

NPI Number: 1902079361
Entity Type: Individual
Name: Susan K North, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 8, 2008
Last Updated: Apr 8, 2008

Practice Location

Address: 263 CENTER ST
City: Randolph
State: Wisconsin
ZIP Code: 53956-1409
Phone: (920) 326-5691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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