Individual
MRS. SUSANNE STEPHENS MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, ATC, CHT
Contact information
Practice address
4106 OGLETOWN STANTON RD, NEWARK, DE 19713-4169
(302) 894-1600
(302) 894-1601
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001056
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199366000
AMERIHEALTH PROVIDER ID
PA
01
—
0199366000
AMERIHEALTH IBC
—
05
—
1000038247
—
DE
01
—
485418
PA BS PROVIDER NUMBER
PA
01
—
485418
PABS
—
Enumeration date
06/22/2006
Last updated
01/18/2018
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