John J. Susan, LPTA

Physical Therapy Assistant · Debary, FL

Individual Active NPI

NPI number 1174785778

Practice location

147 Homestead Ave
Debary, FL 32713-3875
Phone
(386) 668-1156
Fax
(386) 668-2256

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NPI record

NPI
1174785778
Entity type
Individual (Type 1)
Enumeration date
June 26, 2008
Last updated
July 8, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA 15708 FL

Mailing address

PO Box 530241
Debary, FL 32753-0241
Phone
(386) 668-1156
Fax
(386) 668-2256

About John Susan

John J. Susan, LPTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 147 Homestead Ave, Debary, FL 32713-3875. The NPI number 1174785778 was assigned on June 26, 2008 and the record was last updated on July 8, 2010.

John Susan lists a license in the registry: #PTA 15708 (FL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John J. Susan, LPTA?

The NPI number is 1174785778.

What is the phone number of John Susan?

The phone number listed for the practice location is (386) 668-1156.

Where is John Susan located?

147 Homestead Ave, Debary, FL 32713-3875.

What is the taxonomy code for John Susan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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