Individual provider · Type 1 NPI
Susan Bullard Staton, P.T.
Pediatric Physical Therapist · Scotland Neck, NC
Practice location
728 Accree Edmundson Rd
Scotland Neck, NC 27874-8564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 6171 (NC) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1477504983
Susan Bullard Staton, P.T.'s National Provider Identifier is 1477504983, issued on May 12, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Scotland Neck, NC. The record was last updated on Jul 13, 2026.