Individual
SUSAN H. DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2200 N SECTION ST, SULLIVAN, IN 47882-7523
(812) 268-4311
(812) 268-2687
Mailing address
PO BOX 368, SULLIVAN, IN 47882-0368
(812) 268-6964
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05000825
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05000825
STATE LICENSURE
IN
Enumeration date
03/21/2007
Last updated
07/08/2007
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