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1194981522
SUSAN GRACE SILL
PENSACOLA, FL
NPI
1194981522
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA18336)
Enumeration Date
2008-08-05
Last Update Date
2008-08-05
Business Address
-- SUSAN GRACE SILL PTA
4412 N DAVIS HWY
PENSACOLA, FL 32503-2756
Phone number: 850-430-4250
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Mailing Address
-- SUSAN GRACE SILL PTA
PO BOX 2699
PENSACOLA, FL 32513-2699
Phone number: 850-475-4500
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