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Individual
SUSAN VAN HISE
Active
Individual
SUSAN VAN HISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 26134
CA
Other
Enumeration date
01/30/2009
Last updated
02/02/2009
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