Provider Demographics
NPI:1699704098
Name:ARMSTRONG, SUSAN CAROL (AT,C)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:CAROL
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:AT,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2042 ANTARES CT
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-2076
Mailing Address - Country:US
Mailing Address - Phone:805-496-1016
Mailing Address - Fax:805-496-1084
Practice Address - Street 1:2042 ANTARES CT
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2076
Practice Address - Country:US
Practice Address - Phone:805-496-1016
Practice Address - Fax:805-496-1084
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer