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Contact Information

SUSAN SANFORD, PT LIC ACC
238 EDGARTOWN VINEYARD HAVEN ROAD
EDGARTOWN, MA02539
 Phone: 508-693-3800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for SUSAN SANFORD · (Female)

NPI Number 1104905934
Status Active
Credentials PT LIC ACC
Entity Individual
Enumeration date 11/03/2006
Last updated 02/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 005094
  • MA License # 10886
  • MA License # 215639
  • MA Other Y68186 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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