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1174902266
SUSAN WIDMAYER
TUCKER, GA
NPI
1174902266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT000601)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
Mrs. SUSAN WIDMAYER PT
1455 MONTREAL RD
TUCKER, GA 30084-8100
Phone number: 404-694-9732
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Mailing Address
Mrs. SUSAN WIDMAYER PT
1455 MONTREAL RD
TUCKER, GA 30084-8100
Phone number: 404-694-9732
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