Individual
KATIE SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(888) 265-2680
Mailing address
4253 LORAN AVE, HAMBURG, NY 14075-3059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16-0726
NV
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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