Individual
SUZAN RHEAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
7015
MA
225100000X
Physical Therapist
PHYP1707
AK
225100000X
Physical Therapist
PT-1966
ID
225100000X
Physical Therapist
Primary
PT6023715
WA
225100000X
Physical Therapist
PTP-PT-LIC-6221
MT
Other
Enumeration date
10/13/2016
Last updated
03/01/2024
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