Individual
MRS. SUSAN AYRES KOLBUSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 RUE NICOLE, BARKHAMSTED, CT 06063
(860) 416-4447
Mailing address
2 RUE NICOLE, BARKHAMSTED, CT 06063-3359
(860) 416-4447
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002451
CT
225X00000X
Occupational Therapist
OT007221
GA
225X00000X
Occupational Therapist
OTR3256
AR
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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