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Individual

MRS. SUZANNE MARIE FEFFERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
916 SW 38TH ST, SUITE C, LAWTON, OK 73505-7005
(580) 353-1490
(580) 250-1651
Mailing address
916 SW 38TH ST, SUITE C, LAWTON, OK 73505-7005
(580) 353-1490
(580) 250-1651

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
014105
NY
225X00000X
Occupational Therapist
Primary
1719
OK
225X00000X
Occupational Therapist
OT005049
GA

Other

Enumeration date
05/17/2007
Last updated
05/24/2011
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