Individual
SUSAN ZEKERT HUNDSDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CLVT
Contact information
Practice address
610 S 40TH ST, BOULDER, CO 80305-5905
(303) 543-0669
(303) 494-0530
Mailing address
610 S 40TH ST, BOULDER, CO 80305-5905
(303) 543-0669
(303) 494-0530
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
CO HAS NO OT LICENSE
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15297957
WITHHOLD LIC-EYEONLIVING
CO
05
—
63180855
—
CO
01
—
665829002001
UNEMP INS TAXIDEYEONLIVIN
CO
01
—
969623
NATL BOARD FOR CERT IN OT
—
Enumeration date
04/09/2007
Last updated
01/09/2012
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