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Individual

SUSAN M. MCGOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
5500 WILLIAMSBURG LANDING DR, WILLIAMSBURG, VA 23185-3746
(757) 258-2178
Mailing address
422 ROANES MILL RD, SALUDA, VA 23149-4015

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001828
VA

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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