Individual
SUSAN METRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12105 AMBASSADOR DRIVE, COLORADO SPRINGS, CO 80921
(719) 355-4621
Mailing address
3107 W COLORADO AVE #159, COLORADO SPRINGS, CO 80904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0012885
CO
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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