Individual
SUSAN M GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000162942
MO
225100000X
Physical Therapist
61088492
WA
225100000X
Physical Therapist
86803692401
UT
Other
Enumeration date
07/31/2013
Last updated
08/20/2020
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