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Individual

SUZANNE C RAFFELLINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC006431L
PA
225X00000X
Occupational Therapist
Primary
U1-0001452
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OC006431L
OT LICENSE
PA
01
U1-0001452
OT LICENSE
DE
Enumeration date
05/02/2007
Last updated
01/28/2014
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