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Individual

SUSAN R ENERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2100 E CEDAR AVE, FLAGSTAFF, AZ 86004
(928) 214-7430
(928) 214-6022
Mailing address
2100 E CEDAR AVE, FLAGSTAFF, AZ 86004
(928) 214-7430
(928) 214-6022

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0121
AZ

Other

Enumeration date
08/11/2015
Last updated
08/11/2015
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