Individual provider · Type 1 NPI

Susann Carollo, PTA

Physical Therapy Assistant · Clinton Township, MI

NPI number 1376888545 Active

Practice location

33900 Harper Ave, Suite 104
Clinton Township, MI 48035-4258

Call (586) 416-9100 Map

Fax (586) 416-9103

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X5502001801 (MI)

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 1376888545

Susann Carollo, PTA's National Provider Identifier is 1376888545, issued on Nov 29, 2012. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Clinton Township, MI. The record was last updated on Feb 27, 2026.