Individual
MS. MARIE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2507 N RICHMOND RD, MCHENRY, IL 60051-5407
(815) 363-2350
Mailing address
7510 WINDSOR AVE, SPRING GROVE, IL 60081-8918
(815) 675-6510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001802
IL
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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