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Individual

C SUSAN WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1807 2ND ST STE 101, SANTA FE, NM 87505-3510
(505) 982-8561
(505) 989-1740
Mailing address
8 SANDIA LN, SANTA FE, NM 87508-8874
(505) 982-8561
(505) 989-1740

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2232
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13988379
NM
Enumeration date
01/12/2007
Last updated
07/08/2007
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