Individual
SUSAN CALLOWAY WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTDPTPCS
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079NH
BCBS IDENTIFICATION NUMBE
NC
05
—
3403400
—
NC
01
—
562033116
TRICARE-TAX ID
NC
Enumeration date
01/25/2007
Last updated
11/03/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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