Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1316 |
NPI | 1902971542 |
---|---|
Provider Name | Suzette Michelle Book |
First Address | Ottawa Lake, MI 49267-9542 |
Second Address | Toledo, OH 43617-1094 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |