Individual
SUE ELLEN SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, ATP
Contact information
Practice address
9837 US HIGHWAY 98, FAIRHOPE, AL 36532-5855
(251) 517-7787
Mailing address
621 CHERYIL LN, MOBILE, AL 36695-3306
(941) 204-4996
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5073
AL
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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