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Individual
RICK SUSICK
Active
Individual
RICK SUSICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS PT ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11310
CA
2251S0007X
Sports Physical Therapist
PT11310
CA
2251X0800X
Orthopedic Physical Therapist
PT 11310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
781081
ATHLETIC TRAINER CERTI.
CA
01
—
PT 11310
LICENSE
CA
Enumeration date
10/05/2006
Last updated
09/11/2025
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