Provider Demographics
NPI:1851669535
Name:SZAL SUTTON, LINDA CHARLENE (PT, DPT, MS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CHARLENE
Last Name:SZAL SUTTON
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5536 WYNDFIELD CT
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3658
Mailing Address - Country:US
Mailing Address - Phone:716-818-0717
Mailing Address - Fax:
Practice Address - Street 1:3330 BAKER RD
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1472
Practice Address - Country:US
Practice Address - Phone:716-818-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009765-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist