Provider Demographics
NPI:1558707653
Name:MASTURZO, SUSAN LYNN (PT)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:LYNN
Last Name:MASTURZO
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 1:150 SPRINGSIDE DR STE 107A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-4509
Mailing Address - Country:US
Mailing Address - Phone:330-269-9336
Mailing Address - Fax:330-576-3330
Practice Address - Street 1:150 SPRINGSIDE DR STE 107A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-4509
Practice Address - Country:US
Practice Address - Phone:330-269-9336
Practice Address - Fax:330-576-3330
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-15
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04632225100000X
261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy