Individual
RATTANAKORN SUKSABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1012 CENTENNIAL DR, FORT WASHINGTON, MD 20744-3729
(585) 201-3733
Mailing address
1012 CENTENNIAL DR, FORT WASHINGTON, MD 20744-3729
(585) 201-3733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT210002101
DC
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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