Individual
MRS. SUSAN JORALEMON HOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MED
Contact information
Practice address
3343 N WINDSONG DR STE 5, PRESCOTT VALLEY, AZ 86314-1213
(928) 759-5591
(928) 759-5593
Mailing address
1740 VALLEY RANCH CIR, PRESCOTT, AZ 86303-6335
(928) 708-0841
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409989
—
AZ
Enumeration date
12/20/2006
Last updated
07/09/2007
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