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Individual

SUSAN GOLUBOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., OTRL

Contact information

Practice address
9218 E CHAMPAGNE DR, SUN LAKES, AZ 85248-7407
(480) 802-8259
(480) 802-9104
Mailing address
9218 E CHAMPAGNE DR, SUN LAKES, AZ 85248-7407
(480) 802-8259
(480) 802-9104

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2912
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
711772
AZ
Enumeration date
04/13/2007
Last updated
07/09/2007
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