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Individual
SUSAN HUNT DEAS
Active
Individual
SUSAN HUNT DEAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149944401
—
TX
01
—
8T0027
BC/BS
—
Enumeration date
08/05/2008
Last updated
08/05/2008
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