Individual
MS. SUSAN M ROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
317 W 6TH, #206 SAGE & CEDAR PT, MOSCOW, ID 83843-2368
(208) 882-4041
Mailing address
317 W 6TH, #206 SAGE & CEDAR PT, MOSCOW, ID 83843-2368
(208) 882-4041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
ID PT 723
ID
225100000X
Physical Therapist
PT00003302
WA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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