Individual
SUSAN MARIE HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
56299 29 PALMS HWY, YUCCA VALLEY, CA 92284-2857
(760) 369-1743
(760) 365-6934
Mailing address
32790 NAVAJO TRL, CATHEDRAL CITY, CA 92234-4075
(760) 369-1743
(760) 365-6934
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 5196
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72157585392277A004
TRICARE
CA
05
—
CT3786610
—
CA
01
—
OT0051960
BLUE SHIELD
CA
Enumeration date
01/18/2007
Last updated
09/06/2023
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