Provider Demographics
NPI:1942452404
Name:MILTON, SUSAN G (PT)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:G
Last Name:MILTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 SE MARICAMP RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-5590
Mailing Address - Country:US
Mailing Address - Phone:352-732-8855
Mailing Address - Fax:
Practice Address - Street 1:2210 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9144
Practice Address - Country:US
Practice Address - Phone:352-629-4509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2346225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist