Individual
ELIZABETH SUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1311 WAKARUSA DR, SUITE 1000, LAWRENCE, KS 66049-4798
(785) 749-1300
(785) 749-4746
Mailing address
1311 WAKARUSA DR, SUITE 1000, LAWRENCE, KS 66049-4798
(785) 749-1300
(785) 749-4746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103862
KS
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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