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Individual

MS. DEBORAH ANNE SURFACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056008095
IL
225X00000X
Occupational Therapist
Primary
310000932A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000095746
BLUE CROSS BLUE SHIELD
IN
01
09932114
BCBS
IL
05
200043890
IN
05
200655000
IN
05
2007148410A
IN
01
2187460
UNITED HEALTHCARE
IN
Enumeration date
12/02/2006
Last updated
04/29/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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