# MS. DEBORAH ANNE SURFACE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1659449080
- **Gender:** F
- **Credential:** OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 056008095 | IL | — |
| 225X00000X | Occupational Therapist | 310000932A | IN | Yes |

## Other

- **Enumeration date:** 12/02/2006
- **Last updated:** 04/29/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000095746 | BLUE CROSS BLUE SHIELD | IN |
| 01 | — | 09932114 | BCBS | IL |
| 05 | — | 200043890 | — | IN |
| 05 | — | 200655000 | — | IN |
| 05 | — | 2007148410A | — | IN |
| 01 | — | 2187460 | UNITED HEALTHCARE | IN |