Individual
SUSANNA POYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E WARDELL DR, PEMBROKE, NC 28372-7997
(910) 521-1273
Mailing address
12 GREENVALE DR, ORMOND BEACH, FL 32174-8765
(386) 690-2485
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
10618
NC
224Z00000X
Occupational Therapy Assistant
212441
TX
224Z00000X
Occupational Therapy Assistant
OC60522546
WA
224Z00000X
Occupational Therapy Assistant
Primary
OTA10339
FL
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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