Individual
MS. SUSAN SHAYNE GOLDSTEIN
Active
Individual
MS. SUSAN SHAYNE GOLDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2004019225
MO
225XE0001X
Environmental Modification Occupational Therapist
2004019225
MO
225XG0600X
Gerontology Occupational Therapist
2004019225
MO
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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