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Individual
SUSAN BRABANT
Active
Individual
SUSAN BRABANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
007808
NY
225X00000X
Occupational Therapist
Primary
63018509
NY
Other
Enumeration date
12/06/2013
Last updated
03/23/2021
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