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Individual
MRS. SUSAN WHITE
Active
Individual
MRS. SUSAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
2542
NC
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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