JOHN J SUSAN

DEBARY, FL
NPI1174785778
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 15708)
Enumeration Date2008-06-26
Last Update Date2010-07-08
Business Address
Mr. JOHN J SUSAN LPTA
147 HOMESTEAD AVE
DEBARY, FL 32713-3875
Phone number: 386-668-1156
Mailing Address
Mr. JOHN J SUSAN LPTA
PO BOX 530241
DEBARY, FL 32753-0241
Phone number: 386-668-1156
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