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Individual

SUSAN HELENA JENO

Active
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Individual

SUSAN HELENA JENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, PHD

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14080
CA
225100000X
Physical Therapist
5501003202
MI
225100000X
Physical Therapist
5574
MN
225100000X
Physical Therapist
Primary
973
ND

Other

Enumeration date
05/21/2007
Last updated
07/08/2007
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