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Individual
MRS. SUSAN B. SWOOPE
Active
Individual
MRS. SUSAN B. SWOOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00924745B
—
GA
05
—
802307711A
—
GA
Enumeration date
12/11/2006
Last updated
03/14/2013
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