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Individual

SUSAN S. HOPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
2395 HWY 36 E, MILNER, GA 30257
(404) 405-3451
(770) 412-8576
Mailing address
PO BOX 1506, JACKSON, GA 30233
(404) 405-3451
(770) 412-8576

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
4074
GA
2251P0200X
Pediatric Physical Therapist
Primary
PT004074
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000747073B
GA
Enumeration date
12/20/2006
Last updated
02/11/2010
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