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Individual
SUSANNE M SMITH ROLEY
Active
Individual
SUSANNE M SMITH ROLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L FOATA
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 6109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT 030 00 N SU OT006
BLUE CROSS OF CALIFORNIA
CA
01
—
OT 6109
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
10/28/2008
Last updated
10/28/2008
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