Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | LPT-31572 | AZ |
NPI | 1548858970 |
---|---|
Provider Name | Susan Frances Spinner |
First Address | Gilbert, AZ 85295-3501 |
Second Address | Phoenix, AZ 85014-2734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2020 |
Last Update Date | 31/12/2020 |