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Individual
MISS SUSAN M SLATER
Active
Individual
MISS SUSAN M SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT,OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00456200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004562NJ01
ANTHEM HEALTH
NJ
01
—
000815669
AMERIHEALTH CASUALTY
NJ
01
—
0552319
AETNA
NJ
01
—
1043757
FIRST HEALTH
NJ
01
—
115946000
US DEPT OF LABOR
NJ
01
—
129266178
TRICARE
NJ
01
—
1K2449
HEALTH NET
NJ
01
—
223631294
HORIZON BCBS
NJ
01
—
2938
MASTERCARE
NJ
01
—
369972
ONE HEALTH
NJ
01
—
5183705
NORTH AMERICAN ADMIN
NJ
01
—
650022084
PALMETTO GBA
NJ
01
—
TS151
OXFORD
NJ
Enumeration date
06/08/2006
Last updated
12/09/2015
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