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Individual
SUSANNA CALDWELL
Active
Individual
SUSANNA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST 4
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
393
HI
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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