Individual
MRS. SUSAN LYNN PERIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
RR 2 BOX 208, GLENBURN ROAD, LINTON, IN 47441-9664
(812) 847-9675
(812) 847-4708
Mailing address
RR 2 BOX 208, GLENBURN ROAD, LINTON, IN 47441-9664
(812) 847-9675
(812) 847-4708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000103A
IN
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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