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Individual
MS. SUSAN D MIKELL
Active
Individual
MS. SUSAN D MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
295833-2401
UT
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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