Provider Demographics
NPI:1407565526
Name:ALIGN WITH SUE LLC
Entity Type:Organization
Organization Name:ALIGN WITH SUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPONT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MBA, PT, ATC
Authorized Official - Phone:941-841-9591
Mailing Address - Street 1:4223 SE 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-8400
Mailing Address - Country:US
Mailing Address - Phone:239-540-3837
Mailing Address - Fax:
Practice Address - Street 1:8192 COLLEGE PKWY STE A9
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4105
Practice Address - Country:US
Practice Address - Phone:941-841-9591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy