Individual
MS. SUSAN MARIE DELAET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5700 WEST LAYTON AVE, GREENFIELD, WI 53220
(414) 281-7200
(414) 282-7512
Mailing address
5700 WEST LAYTON AVE, GREENFIELD, WI 53220
(414) 281-7200
(414) 282-7512
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
835019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40455600
—
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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