Individual
MRS. SUSAN ELLER BARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
(999) 999-9999
Mailing address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1591
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211712
—
NC
05
—
7313016
—
NC
Enumeration date
01/18/2007
Last updated
04/13/2026
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