Individual
SUZANNE JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1717 BOYSON RD, HIAWATHA, IA 52233-2313
(319) 541-5734
Mailing address
1717 BOYSON RD, HIAWATHA, IA 52233-2313
(319) 541-5734
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
989340
IA
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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