Individual
HAY JIN SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LANGLEY RD, NEWTON, MA 02459-2357
(617) 678-9240
Mailing address
201 LANGLEY RD, NEWTON, MA 02459-2357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9594
OT STATE LICENCE
MA
Enumeration date
05/03/2017
Last updated
05/03/2017
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