Individual
MS. SUSAN P BESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, PCS
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004526411
AETNA
NC
01
—
0796N
BLUE CROSS BLUE SHIELD
NC
05
—
721041G
—
NC
01
—
D3557
MEDCOST
NC
Enumeration date
01/22/2007
Last updated
07/08/2007
Update your record
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