Individual
SUSAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 BENJAMIN KIDDER LN, BEDFORD, MA 01730-1648
(781) 275-0810
Mailing address
1 BENJAMIN KIDDER LN, BEDFORD, MA 01730-1648
(781) 275-0810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3746
MA
225X00000X
Occupational Therapist
OT 000347
GA
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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