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Individual
SUSAN C MILAM
Active
Individual
SUSAN C MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056000312
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745330
HEALTHLINK
IL
01
—
P00319532
RR MEDICARE
IL
Enumeration date
07/08/2006
Last updated
09/04/2007
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