Individual
MRS. SUZANNE RUTH SIESS-MANFRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1132 LORRAINE DR, FRANKLIN SQUARE, NY 11010-1834
(516) 616-0096
Mailing address
1132 LORRAINE DR, FRANKLIN SQUARE, NY 11010-1834
(516) 616-0096
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
21631
NY
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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