Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT 28010 | FL |
N | 2251G0304X | Physical Therapist - Geriatrics | PT 28010 | FL |
N | 2251N0400X | Physical Therapist - Neurology | 5501003802 | MI |
Y | 2251N0400X | Physical Therapist - Neurology | PT 28010 | FL |
NPI | 1043510555 |
---|---|
Provider Name | Ms. Susan Anne Harrington |
First Address | Clearwater, FL 33756-5323 |
Second Address | Largo, FL 33774-1035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2010 |
Last Update Date | 25/04/2013 |