Individual
MISS DIANA SUE SUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
820 E CENTER ST, BLANCHESTER, OH 45107-1310
(937) 783-4949
Mailing address
815 W MAIN ST, HILLSBORO, OH 45133-1231
(937) 763-1604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.07968
OH
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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