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Individual
SUSIE YIM
Active
Individual
SUSIE YIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5201007751
MI
225X00000X
Occupational Therapist
Primary
5201007751
MI
Other
Enumeration date
06/25/2010
Last updated
12/12/2012
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