Individual
SUSAN KOSSMAN WEICHBROD
Active
Individual
SUSAN KOSSMAN WEICHBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
04597
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
882409-01
CAREFIRST BCBS
MD
01
—
882409-02
CAREFIRST BCBS
MD
01
—
J175-0022
CAREFIRST BCBS
DC
Enumeration date
12/04/2007
Last updated
12/04/2007
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