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NPI Code Detail

MEDICARE: SUSAN SITZBERGER PT

MEDICARE:   SUSAN  SITZBERGER  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT2384FL

General Provider Information

NPI Number : 1457423543
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN SITZBERGER PT
Provider Business Mailing Address
First Line : 25211 ROLAND LN
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33955-4219
Country : US
Telephone Number : 954-554-5803
Fax Number :
Provider Business Practice Location Address
First Line : 25211 ROLAND LN
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33955-4219
Country : US
Telephone Number : 954-554-5803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 03/02/2015

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Directions to “ SUSAN SITZBERGER PT” Practice Location

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