Doctor Name: | DR. AUTUMN SUCKOW |
NPI Number: | 1457505190 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 8258 |
Business Practice Address: | 4001 E Baseline Rd Ste B2 Gilbert, AZ - 852342726 |
Business Phone Number: | 4805395629 |
Business Fax Number: | 4805395669 |
Mailing Address: | 4001 E Baseline Rd, Ste B2 GILBERT |
State: | AZ |
Postal Code: | 852342726 |
Phone Number: | 4805395629 |
Fax Number: | 4805395669 |
NPI Enumeration Date: | 11/07/2008 |
NPI Last Update Date: | 11/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |