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Individual
SUSAN EGBERT MCCALL
Active
Individual
SUSAN EGBERT MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0008639
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020181
KAISER COMMERCIAL NUMBER
CO
05
—
92809375
—
CO
Enumeration date
02/12/2009
Last updated
06/04/2021
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