Individual provider · NPI-1
Georgette Constance Suttman
Mechanotherapist · Houston, TX
NPI number1194060590
StatusActive
Last updated in NPPESDec 11, 2012
Details
- NPI
- 1194060590
- Entity type
- Individual (NPI-1)
- Name
- Georgette Constance Suttman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2012
- Last updated
- Dec 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172M00000X | Mechanotherapist | MT102660 | TX | Yes |
Practice location
1571 W Sam Houston Pkwy SHouston, TX 77042-2904
Phone 832-512-7858
Mailing address
1571 W Sam Houston Pkwy SHouston, TX 77042-2904
Phone 832-512-7858
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