Individual
SUZANNE MCBOURNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11 LINWOOD AVE APT 6, DERRY, NH 03038-2244
(603) 315-5344
Mailing address
11 LINWOOD AVE APT 6, DERRY, NH 03038-2244
(603) 315-5344
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0601
NH
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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