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Individual
SUSAN J THAYER
Active
Individual
SUSAN J THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4115
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64-02724
MEDICA
MN
01
—
9V721DE
BCBS
MN
01
—
HP44348
HEALTHPARTNERS
MN
Enumeration date
11/09/2006
Last updated
06/23/2017
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