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Individual

SUZANNE IMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
130 COLRAIN RD, GREENFIELD, MA 01301-9625
(413) 774-3724
Mailing address
1 CLAYBROOK RD, SUNDERLAND, MA 01375-9580
(413) 665-8465

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3865
MI

Other

Enumeration date
12/22/2007
Last updated
12/22/2007
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