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Individual
MRS. SUSANA DELGADO DEMORE
Active
Individual
MRS. SUSANA DELGADO DEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1180530
TX
2251S0007X
Sports Physical Therapist
1180530
TX
2251X0800X
Orthopedic Physical Therapist
1180530
TX
Other
Enumeration date
09/17/2012
Last updated
05/11/2023
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