Individual
SUSIE BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11667 MORGAN AVE, PLYMOUTH, MI 48170-4438
(260) 797-8453
Mailing address
11667 MORGAN AVE, PLYMOUTH, MI 48170-4438
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003583
MI
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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