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Individual

MRS. SUSAN H. HEWLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
2210 MILL STREET EXT STE B, LUCEDALE, MS 39452-6079
(601) 947-9005
(601) 947-9007
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764
(256) 355-7757

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT006718
FL
225100000X
Physical Therapist
Primary
PT6221
MS

Other

Enumeration date
09/10/2007
Last updated
07/21/2022
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