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1790968246
SUSAN E HACKER
BEVERLY, MA
NPI
1790968246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist Pediatrics
(Licence: MA AH 8181-PT)
Enumeration Date
2007-12-06
Last Update Date
2007-12-06
Business Address
SUSAN E HACKER RPT
111 DODGE ST
BEVERLY, MA 01915-1827
Phone number: 978-921-1182
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Mailing Address
SUSAN E HACKER RPT
23 JUDSON ST
BEVERLY, MA 01915-4341
Phone number: 978-921-5278
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