Individual
SUZANNE R SANDSMARK
Active
Individual
SUZANNE R SANDSMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2824
MN
225100000X
Physical Therapist
Primary
538
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313645100
—
MN
05
—
52081
—
ND
Enumeration date
07/12/2006
Last updated
11/09/2023
Update your record
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