Most Relevant Information
Provider Data
| NPI Number: | 1003046079 |
| Provider Name: | SUZANNAH KATHRYN YORK - CRUMP PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 07638 |
Most Important Dates
| Enumeration Date: | 07/23/2009 |
| Last Updated: | 03/17/2014 |
Provider Practice Location
266 OCKLEY DR
SHREVEPORT
LA
711053025
Practice Location Phone/Fax
| Phone: | 3375800083 |
| Fax: | 3375800083 |
Provider Mailing Location
290 RAES CRK
SHREVEPORT
LA
711068376
Provider Mailing Phone/Fax
| Phone: | 3375800083 |
| Fax: |