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1780607432
SUSAN CHACKO
LIVONIA, MI
NPI
1780607432
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501005986)
Enumeration Date
2006-07-25
Last Update Date
2018-04-23
Business Address
SUSAN CHACKO PT
36475 5 MILE RD
LIVONIA, MI 48154-1971
Phone number: 734-655-1720
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Mailing Address
SUSAN CHACKO PT
51750 TURNBURRY DR
SOUTH LYON, MI 48178-7093
Phone number: 734-464-8687
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