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Individual

MS. SUSAN KAY DUBROFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-5224
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-5224

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
12152
CA
2251P0200X
Pediatric Physical Therapist
Primary
16312
MD
2251P0200X
Pediatric Physical Therapist
5501001231
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
463100500
MD
Enumeration date
08/26/2008
Last updated
08/26/2008
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