Individual
MRS. SUSAN SHERYL FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1052 MAPLE DR, MORGANTOWN, WV 26505-2815
(304) 599-2600
Mailing address
1052 MAPLE DR, MORGANTOWN, WV 26505-2815
(304) 599-2600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005078000
—
WV
Enumeration date
05/10/2010
Last updated
05/10/2010
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