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Individual
SUSAN M BEARDEMPHL
Active
Individual
SUSAN M BEARDEMPHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118317
DEPT OF L&I
WA
01
—
3822BE
REGENCE
WA
01
—
650015277
R/R MED
WA
05
—
8385510
—
WA
01
—
8930871
CRIME VICTIMS
WA
Enumeration date
08/25/2005
Last updated
08/05/2025
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