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Individual
MS. SUSIE XUE WILLIAMS
Active
Individual
MS. SUSIE XUE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1313724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47614055
BCBS-KC
—
01
—
KA2868056
MEDICARE PTAN
KS
01
—
MA4370076
MEDICARE PTAN
MO
Enumeration date
08/06/2012
Last updated
03/27/2023
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