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1528452190
SUSAN WELLIVER
LOUISVILLE, KY
NPI
1528452190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 7440)
Enumeration Date
2015-03-22
Last Update Date
2015-03-22
Business Address
-- SUSAN WELLIVER P.T.
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
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Mailing Address
-- SUSAN WELLIVER P.T.
62 EDISON PARK
QUINCY, MA 02169-5627
Phone number: 617-479-1939
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