Doctor Name: | SUSAN AUSTIN |
NPI Number: | 1003908336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT2565 |
Business Practice Address: | 133 Corporate Dr Suite 2 Bangor, ME - 044014312 |
Business Phone Number: | 2079929286 |
Business Fax Number: | 2079929287 |
Mailing Address: | Po Box 921, BANGOR |
State: | ME |
Postal Code: | 044020921 |
Phone Number: | 2079427650 |
Fax Number: | 2079905586 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 01/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2565 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |