Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 5501002569 | MI |
N | 2251X0800X | Physical Therapist - Orthopedic | 3812 | SC |
NPI | 1043289689 |
---|---|
Provider Name | Mrs. Susan M Postmus |
First Address | Elgin, SC 29045-8531 |
Second Address | Elgin, SC 29045-8531 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
TH1020 | (05) | SC |