Individual
SUSAN SLOCUM BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
857 CENTER CT, SHOREWOOD, IL 60431-8520
(815) 730-1818
Mailing address
1207 THACKERY CT, NAPERVILLE, IL 60564-3175
(630) 904-8152
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
IL
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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