# SUSAN MARY QUINN HURST

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

## Provider details

- **NPI number:** 1942362025
- **Gender:** F
- **Credential:** OTR/L, BCP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 1265 | AK | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 201752356 | TAX ID | AK |
| 01 | — | OT-816 | OT LICENSE | ID |
| 01 | — | OT00000844 | OT LICENSE | WA |
| 05 | — | OT4752 | — | AK |