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NPI Code Detail

MEDICARE: SUE DALRYMPLE PT

MEDICARE: SUE DALRYMPLE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistQA1987NJ

General Provider Information

NPI Number : 1376540948
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUE DALRYMPLE PT
Provider Business Mailing Address
First Line : 2123 HIGHWAY 35
Second Line :
City : SEA GIRT
State : NJ
Zip : 08750-1003
Country : US
Telephone Number : 732-449-2001
Fax Number : 732-449-2238
Provider Business Practice Location Address
First Line : 2123 HIGHWAY 35
Second Line :
City : SEA GIRT
State : NJ
Zip : 08750-1003
Country : US
Telephone Number : 732-449-2001
Fax Number : 732-449-2238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/08/2007

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Directions to “ SUE DALRYMPLE PT” Practice Location

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