Individual
MICHELLE SUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2853 S SOSSAMAN RD, STE A106, MESA, AZ 85212-9625
(480) 373-9700
Mailing address
9713 E OLLA AVE, MESA, AZ 85212-2071
(480) 326-3922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-006496
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6496
LICENSE #
AZ
Enumeration date
08/30/2006
Last updated
08/16/2024
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