Doctor Name: | MS. CAROLYN JOAN SUCAET |
NPI Number: | 1942363759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501002353 |
Business Practice Address: | 20952 12 Mile Road Suite 110 St. Clair Shores, FM - 48091 |
Business Phone Number: | 5864983500 |
Business Fax Number: | 5864983510 |
Mailing Address: | 2228 Manchester Rd, BIRMINGHAM |
State: | MI |
Postal Code: | 480095891 |
Phone Number: | 5864983504 |
Fax Number: | 5864983510 |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501002353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |