Individual
SUSAN WINGERT
Active
Individual
SUSAN WINGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
472
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650026162
RAILROAD MEDICARE
AZ
05
—
748080
—
AZ
Enumeration date
11/30/2005
Last updated
04/07/2023
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