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Individual
SUSAN MARIE REAGAN
Active
Individual
SUSAN MARIE REAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005729L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01604660
—
PA
01
—
0465115000
HMO KEYSTONE EAST
—
01
—
50018508
CAPITAL
PA
01
—
635050
PPO PERSONAL CHOICE
—
01
—
PT005729L
US DEPT OF LABOR
—
01
—
RE635050
HIGHMARK
PA
Enumeration date
06/08/2006
Last updated
07/13/2026
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