Provider Demographics
NPI:1730236027
Name:MONNO, SUZANNE BENAK (PT)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:BENAK
Last Name:MONNO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1530 CURRIE ST N
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55119-7126
Mailing Address - Country:US
Mailing Address - Phone:651-288-5180
Mailing Address - Fax:651-288-5188
Practice Address - Street 1:2785 WHITE BEAR AVE N
Practice Address - Street 2:SUITE 300
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1307
Practice Address - Country:US
Practice Address - Phone:651-777-0733
Practice Address - Fax:651-777-0736
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN49142251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic