Provider Demographics
NPI:1568658722
Name:CRUPI, SUSANNE Q (PT)
Entity Type:Individual
Prefix:
First Name:SUSANNE
Middle Name:Q
Last Name:CRUPI
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:1210 CARTHAGE ST
Mailing Address - Street 2:KINETIC INSTITUTE PHYSICAL THERAPY
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330
Mailing Address - Country:US
Mailing Address - Phone:919-776-5488
Mailing Address - Fax:919-776-8224
Practice Address - Street 1:1210 CARTHAGE ST
Practice Address - Street 2:KINETIC INSTITUTE PHYSICAL THERAPY
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330
Practice Address - Country:US
Practice Address - Phone:919-776-5488
Practice Address - Fax:919-776-8224
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
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Provider Licenses
StateLicense IDTaxonomies
NC10028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist