Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 05010357A | IN |
NPI | 1013469386 |
---|---|
Provider Name | Suzanne M Flamion |
First Address | Chicago, IL 60686-0001 |
Second Address | Evansville, IN 47725-1167 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2016 |
Last Update Date | 11/09/2017 |