Individual
SUZANNE LYNN GROTELUESCHEN
Active
Individual
SUZANNE LYNN GROTELUESCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
142338
AK
225100000X
Physical Therapist
22000
MA
225100000X
Physical Therapist
5501017215
MI
225100000X
Physical Therapist
Primary
PT60979906
WA
Other
Enumeration date
06/19/2015
Last updated
08/22/2019
Update your record
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