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Individual

MRS. SUSAN THERESE CHARLWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, MSW

Contact information

Practice address
34 DANIELSON PIKE, SUITE D, NORTH SCITUATE, RI 02857-1802
(401) 647-4455
(401) 647-4456
Mailing address
58 E KILLINGLY RD, FOSTER, RI 02825-1428
(401) 647-2975

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1602
MA
225100000X
Physical Therapist
Primary
PT00157
RI

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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