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Individual
SUSAN L BOTICA
Active
Individual
SUSAN L BOTICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002054
IL
225XH1200X
Hand Occupational Therapist
056002054
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670002092
RAILROAD PROVIDER #
IL
Enumeration date
08/30/2005
Last updated
01/30/2012
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