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Individual

MS. SUZANNA LU DAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
1110 W 11TH ST, CONCORDIA, KS 66901-3902
(785) 243-4699
Mailing address
427 W 18TH ST, CONCORDIA, KS 66901-4117
(785) 243-6318

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-00706
KS

Other

Enumeration date
12/09/2010
Last updated
12/09/2010
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