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Individual
SUSAN SIMONE
Active
Individual
SUSAN SIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0002327
CO
2251S0007X
Sports Physical Therapist
PTL.0002327
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
97273805
—
CO
Enumeration date
03/10/2008
Last updated
11/10/2017
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