Provider Demographics
NPI:1023260247
Name:DUGAN, SUZANNE ELAINE (PT)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:ELAINE
Last Name:DUGAN
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Gender:F
Credentials:PT
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Mailing Address - Street 1:8902 N MERIDIAN ST
Mailing Address - Street 2:STE 215
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-5382
Mailing Address - Country:US
Mailing Address - Phone:317-581-1890
Mailing Address - Fax:317-581-2436
Practice Address - Street 1:7855 S EMERSON AVE
Practice Address - Street 2:SUITE W
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8668
Practice Address - Country:US
Practice Address - Phone:317-889-5340
Practice Address - Fax:317-889-5711
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2011-06-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist