Individual
SOMER ANNE JOYCE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2048
NE
225100000X
Physical Therapist
Primary
2301
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0586412
—
IA
01
—
36584
BLUE CROSS BLUE SHIELD
NE
Enumeration date
11/16/2005
Last updated
08/02/2021
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