Individual
SUZANNE D. ELCIK
Active
Individual
SUZANNE D. ELCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OT128
ME
225XP0200X
Pediatric Occupational Therapist
Primary
OT128
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197900000
—
ME
Enumeration date
11/04/2006
Last updated
09/01/2023
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