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1104177625
SUSAN M BREITENBACH
NORTH CANTON, OH
NPI
1104177625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OH PTA. 07901)
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
-- SUSAN M BREITENBACH LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number: 330-498-8205
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Mailing Address
-- SUSAN M BREITENBACH LPTA
339 E MAPLE ST
NORTH CANTON, OH 44720-2593
Phone number:
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