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Individual

SUZANNE PUCKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
467 EASTERN BY-PASS, RICHMOND, KY 40475
(859) 623-6334
Mailing address
3425 EXECUTIVE PKWY, SUITE 128, TOLEDO, OH 43606-1326

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002420
KY

Other

Enumeration date
12/20/2010
Last updated
12/20/2010
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