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Individual

MRS. SUE DAHL-POPOLIZIO

Active
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Individual

MRS. SUE DAHL-POPOLIZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1333
AZ
225XH1200X
Hand Occupational Therapist
1333
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
220501
AZ
Enumeration date
02/28/2007
Last updated
08/22/2009
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