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1245590686
SUSAN KATHLEEN BIRNBAUM
BOISE, ID
NPI
1245590686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID 1533)
Enumeration Date
2012-05-19
Last Update Date
2012-05-19
Business Address
Ms. SUSAN KATHLEEN BIRNBAUM MPT
600 N ROBBINS RD
BOISE, ID 83702-4565
Phone number: 208-489-4640
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Mailing Address
Ms. SUSAN KATHLEEN BIRNBAUM MPT
4378 W QUAIL POINT CT
BOISE, ID 83703-3844
Phone number: 208-424-0324
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