Individual
SUE MOKRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
305 E BRANDON BLVD, BRANDON, FL 33511-5222
(813) 978-9700
(813) 972-5055
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 972-5055
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT1805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00659066
RAILROAD MEDICARE
FL
Enumeration date
10/25/2005
Last updated
01/23/2015
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