Provider Demographics
NPI:1922649599
Name:FRENCH, SUSAN THOMAS (DPT)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:THOMAS
Last Name:FRENCH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 LATIGO LOOP
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-1300
Mailing Address - Country:US
Mailing Address - Phone:256-520-1067
Mailing Address - Fax:
Practice Address - Street 1:247 LATIGO LOOP
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-1300
Practice Address - Country:US
Practice Address - Phone:256-520-1067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH33662251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics