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Susan Antrim, PTA
NPI 1689940777 · on the registry since 2012
Practice
- Address
- 2801 Evans Ave
Valparaiso, IN 46383 - Phone
- (219) 464-9621
- Organisation at this address
- Opportunity Enterprises
Opportunity Enterprises
Opportunity Enterpises, Inc.
Opportunity Enterprises, Inc
Opportunity Enterprises, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225100000X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana