Sue A Dupont, PT ATC
Physical Therapist in Cape Coral, FL. Individual provider (NPI-1).
NPI number1215910666
StatusActive
Last updated in NPPESJul 16, 2016
Details
- NPI
- 1215910666
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sue A Dupont
- Credential
- PT ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2005
- Last updated
- Jul 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 11530 | FL | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL271 | FL |
Practice location
4223 Se 3rd AveCape Coral, FL 33904-8400
Phone 239-540-3837
Mailing address
4223 Se 3rd AveCape Coral, FL 33904-8400
Phone 239-540-3837
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