Individual
SUSAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14805 PORT CREEK RD, FLAT ROCK, MI 48134-9648
(616) 566-8822
Mailing address
14805 PORT CREEK RD, FLAT ROCK, MI 48134-9648
(616) 566-8822
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003184
MI
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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