Provider Demographics
NPI:1942207147
Name:HOSKINS, SUSAN (PT, MPT)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1257 W WARNER RD
Mailing Address - Street 2:STE A2
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-2786
Mailing Address - Country:US
Mailing Address - Phone:480-821-2286
Mailing Address - Fax:480-899-9789
Practice Address - Street 1:1257 W WARNER RD
Practice Address - Street 2:STE A2
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-2786
Practice Address - Country:US
Practice Address - Phone:480-821-2286
Practice Address - Fax:480-899-9789
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5550225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ816689Medicaid
AZ816689Medicaid