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1235508581
SUSAN PETERSEN
COSTA MESA, CA
NPI
1235508581
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 18793)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
-- SUSAN PETERSEN M.P.T
2012 PHALAROPE CT
COSTA MESA, CA 92626-4734
Phone number: 714-580-2868
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Mailing Address
-- SUSAN PETERSEN M.P.T
2012 PHALAROPE CT
COSTA MESA, CA 92626-4734
Phone number: 714-580-2868
Copy
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