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Individual
SUSAN R KABEARY
Active
Individual
SUSAN R KABEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000970
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192085
DEPT OF L&I
WA
01
—
3824KA
REGENCE BS
WA
01
—
7734482
AETNA
WA
05
—
8368995
—
WA
01
—
8939558
CRIME VICTIMS
WA
01
—
P00268495
MEDICARE RAILROAD
WA
Enumeration date
08/18/2005
Last updated
07/10/2015
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