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Individual
MS. SUZETTE A RAES
Active
Individual
MS. SUZETTE A RAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3297-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034545
NATIONAL CERTIFICATION NUMBER
—
01
—
3297-026
STATE OT LICENSE NUMBER
WI
Enumeration date
01/05/2010
Last updated
01/05/2010
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