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Individual
SUSAN HEDBERG
Active
Individual
SUSAN HEDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
OT13267
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT13267
FL
Other
Enumeration date
11/28/2008
Last updated
12/10/2015
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