Individual
MRS. SUSAN JEAN QUADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
802 KENYON RD, FORT DODGE, IA 50501-5740
(515) 574-6914
Mailing address
3381 180TH ST, MANSON, IA 50563-7568
(712) 469-3433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02103
IA
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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