Individual
SUZANNE DAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
33 S 2ND AVE, YAKIMA, WA 98902-3414
(509) 575-2885
Mailing address
33 S 2ND AVE, YAKIMA, WA 98902-3414
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60028620
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT60028620
DOH
WA
Enumeration date
11/08/2012
Last updated
11/08/2012
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