Individual
MS. SUSAN L FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
215 W LODGE DR, TEMPE, AZ 85283-3652
(480) 730-4103
(480) 897-0014
Mailing address
4145 N 42ND ST, PHOENIX, AZ 85018-4206
(480) 980-8734
(480) 897-0014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2466
AZ
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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