Individual
MS. SHAUN SUSAN BIDDLE
Active
Individual
MS. SHAUN SUSAN BIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2339
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2339
MT DEPT OF L&I, BOARD OF PHYSICAL THERAPIST EXAMINERS
MT
Enumeration date
08/03/2011
Last updated
08/03/2011
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