| Doctor Name: | MS. SUSAN DUTTWEILER |
| NPI Number: | 1275661548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T., CEAS, CFCE |
| License Number: | 05001508A |
| Business Practice Address: | 1105 53rd Ave E Ste A Bradenton, FL - 342034897 |
| Business Phone Number: | 9417552562 |
| Business Fax Number: | 9417584065 |
| Mailing Address: | 28035 Avenue Sanford West, VALENCIA |
| State: | CA |
| Postal Code: | 91355 |
| Phone Number: | 2195459057 |
| Fax Number: | |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 08/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05001508A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| 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 |