Individual
SUSAN BAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
5001 STSTESMAN DR, IRVING, TX 75063
(877) 282-5613
Mailing address
5001 STSTESMAN DR, IRVING, TX 75063
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
1103526
KS
2251X0800X
Orthopedic Physical Therapist
Primary
60323451
WA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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