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1154507655
SUSAN DIANE SMITH
EVERGREEN, CO
NPI
1154507655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CO 8299)
Enumeration Date
2008-01-14
Last Update Date
2008-01-14
Business Address
-- SUSAN DIANE SMITH PT, NCMT
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439-9546
Phone number: 303-674-7889
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Mailing Address
-- SUSAN DIANE SMITH PT, NCMT
1826 CLARK RD
BAILEY, CO 80421-1212
Phone number: 303-816-4494
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