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NPI Code Detail

MEDICARE: SUANNE MARSHALL GARRITY MPT

MEDICARE: SUANNE MARSHALL GARRITY MPT
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 TherapistDAPT001458PA
22251G0304XGeriatric Physical TherapistPT011101LPA
32251X0800XOrthopedic Physical TherapistPT011101LPA
4225100000XPhysical TherapistPT011101LPA

General Provider Information

NPI Number : 1639393853
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUANNE MARSHALL GARRITY MPT
Provider Business Mailing Address
First Line : 1650 LYNDON FARM CT STE 300
Second Line :
City : LOUISVILLE
State : KY
Zip : 40223-5005
Country : US
Telephone Number : 856-677-4000
Fax Number : 856-234-3014
Provider Business Practice Location Address
First Line : 1075 VIRGINIA DR STE 200
Second Line :
City : FORT WASHINGTON
State : PA
Zip : 19034-3108
Country : US
Telephone Number : 215-619-4545
Fax Number : 215-619-4555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 11/12/2022

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Directions to “ SUANNE MARSHALL GARRITY MPT” Practice Location

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