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Individual
MRS. SUSAN SOBOL MCCADDEN
Active
Individual
MRS. SUSAN SOBOL MCCADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
579146
NY
225100000X
Physical Therapist
Primary
032791-1
NY
Other
Enumeration date
04/30/2009
Last updated
05/03/2017
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