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Individual
SUSAN ARENDS
Active
Individual
SUSAN ARENDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.005547
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400220098
MEDICARE PTAN
IL
Enumeration date
05/29/2015
Last updated
06/20/2015
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