Individual
MRS. SUSAN MARIE CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
(410) 922-2443
Mailing address
4511 ROBOSSON RD, RANDALLSTOWN, MD 21133-1018
(410) 922-2443
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2051
MD
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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