Provider Demographics
NPI:1942367891
Name:FALSONE, SUSAN ANN (PT, MS, SCS, ATC)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ANN
Last Name:FALSONE
Suffix:
Gender:F
Credentials:PT, MS, SCS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 N 38TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-2222
Mailing Address - Country:US
Mailing Address - Phone:602-955-5068
Mailing Address - Fax:
Practice Address - Street 1:650 S ATHLETES PL
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-8519
Practice Address - Country:US
Practice Address - Phone:480-449-9000
Practice Address - Fax:480-449-9200
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ54182251S0007X
CA293272251S0007X
FL233832251S0007X
NV21442251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports