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Individual

SUSAN EISENBERG

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
410 MOREHOUSE RD, EASTON, CT 06612-1638
(928) 636-6352
Mailing address
3975 W RAVENGUARD RD, PAULDEN, AZ 86334-4312

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1729
CT

Other

Enumeration date
10/31/2005
Last updated
07/08/2007
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