Individual
MRS. BROOKE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
07417
MD
225X00000X
Occupational Therapist
1608
WV
225X00000X
Occupational Therapist
Primary
OT010000986
DC
Other
Enumeration date
12/13/2012
Last updated
06/13/2019
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