Most Relevant Information
Provider Data
| NPI Number: | 1003550666 |
| Provider Name: | SUSANNAH TEEUWEN PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 0014830 |
Most Important Dates
| Enumeration Date: | 04/20/2022 |
| Last Updated: | 04/20/2022 |
Provider Practice Location
600 W COUNTY LINE RD APT 31-204
HIGHLANDS RANCH
CO
801296510
Practice Location Phone/Fax
| Phone: | 2057892936 |
| Fax: |
Provider Mailing Location
600 W COUNTY LINE RD APT 31-204
HIGHLANDS RANCH
CO
801296510
Provider Mailing Phone/Fax
| Phone: | 2057892936 |
| Fax: |