Individual
MS. SUSAN MARIE OVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2400 W DUNLAP AVE, SUITE 145, PHOENIX, AZ 85021-2817
(602) 870-1414
(602) 870-4141
Mailing address
722 W MORELAND ST, PHOENIX, AZ 85007-2119
(602) 953-9173
(602) 953-9173
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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