Individual
MRS. GINA VICTORIA SUITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2134 OLD ASHLAND CITY RD, CLARKSVILLE, TN 37043-4972
(931) 552-3002
(931) 647-8246
Mailing address
1195 CLARKSVILLE RD, TRENTON, KY 42286-9763
(931) 552-3002
(931) 647-8246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5227
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5227
STATE LICENSE
TN
Enumeration date
02/15/2007
Last updated
07/08/2007
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