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Individual

MRS. SUSAN CALDWELL MCCRACKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1931 BOISE AVE STE 1, CENTER FOR ADVANCED BODYWORK, LOVELAND, CO 80538-4295
(970) 412-1563
Mailing address
3162 SILVER LEAF DR, LOVELAND, CO 80538-2852
(970) 412-1563

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
NBCOT AA429001
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95355332
CO
Enumeration date
05/03/2007
Last updated
04/20/2009
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