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Individual
SUZETTA DAWN DANIEL
Active
Individual
SUZETTA DAWN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161718501
—
TX
01
—
8T0422
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/23/2006
Last updated
06/25/2009
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