Individual provider · Type 1 NPI

John J. Susan, LPTA

Physical Therapy Assistant · Debary, FL

NPI number 1174785778 Active

Practice location

147 Homestead Ave
Debary, FL 32713-3875

Fax (386) 668-2256

Mailing address

PO Box 530241
Debary, FL 32753-0241

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA 15708 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1174785778

John J. Susan, LPTA's National Provider Identifier is 1174785778, issued on Jun 26, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Debary, FL. The record was last updated on Jul 8, 2010.