MR. JOHN J SUSAN, LPTA
Restorative Service Providers at Homestead Ave, De Bary, FL

License number
Florida PTA 15708
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address
147 Homestead Ave, De Bary, FL 32713
Phone
(386) 668-1156
(386) 668-2256 (Fax)
National Provider ID: 1174785778
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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John J Susan, Lpta, LLC

De Bary, FL

Industry:
Business Services at Non-Commercial Site
Registration:
May 21, 2008
Addresses:
PO Box 530241, De Bary, FL 32753
147 Homestead Ave, De Bary, FL 32713
State ID:
L08000050895
Business type:
Florida Limited Liability
Managing Member:
John J. Susan (Managing Member)

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