Individual
SUSAN SIMMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
759 KANE ST, SOUTH ELGIN, IL 60177-1418
(847) 697-3310
Mailing address
4135 MEADOW VIEW DR, ST CHARLES, IL 60175-5654
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006532
IL
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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