Suzn Davis Delfosse
Individual provider Active NPI Physical Therapy Assistant · Madill, OK
NPI 1669633111 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1669633111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 1622 (NC)
- Practice address
- 105 N 5TH Ave
Madill, OK 73446-1203 - Phone
- (580) 795-3301
- Fax
- (580) 795-7307
- NPI assigned
- Jun 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1622 | NC | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1622 | NC | Yes |
Addresses
Primary practice location
105 N 5TH Ave
Madill, OK 73446-1203
Mailing address
PO Box 831
Madill, OK 73446-0831
Phone (580) 795-3301
Other providers in Madill, OK
- Geneva Fern Craig
- Adam Bret Cranmore
- Debra Gail Crowder
- Michael Crutchfield
- Dalia Daniels
- Diagnostic Laboratory of Oklahoma LLC
- Taylor Calli Dillard
- Jennifer Duncan
- Jacob Dupree
- Jennifer B Elise
All providers in Madill, OK · Physical Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.