Susan Sanford, PTLICACC
Susan Sanford, PTLICACC is a Physical Therapist in Private Practice in Edgartown, Massachusetts. Qualified in 1994, 32 years ago. Practices with Vineyard Complementary Medicine Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Connecticut and Massachusetts.
- Years since qualifying
- 32
- Licensed in
- CT, MA
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
238 Edgartown Vineyard Haven RdEdgartown, MA 02539
Phone: (508) 693-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 10886 (MA) |
|---|---|
| Acupuncturist | Taxonomy 171100000X · Licence 215639 (MA) |
| Physical Therapist | Taxonomy 225100000X · Licence 005094 (CT) |
Record details
| NPI number | 1104905934 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTLICACC |
| Sole proprietor | No |
| NPI enumerated | November 3, 2006 |
| Last updated in NPPES | February 14, 2023 |
| Certification date | February 9, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Group practice | Vineyard Complementary Medicine Inc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Edgartown
-
Vineyard Complementary Medicine Inc
238 Edgartown Vineyard Haven Rd Unit 1, Edgartown, MA 02539-6932 · (508) 693-3800