Individual
MS. SUSAN KUSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
13020 OSBORNE ST, DEARBORN, MI 48126-3640
(313) 827-1835
Mailing address
916 MOHAWK ST, DEARBORN, MI 48124-1506
(313) 274-4006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501003678
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501003678
PHYSICAL THERAPY LICENSE
MI
Enumeration date
06/10/2007
Last updated
07/08/2007
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