Individual
SUSAN C BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
N3708 RIVER AVE, NEILLSVILLE, WI 54456-7218
(715) 743-3101
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 255-4079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8833
WI
225XP0019X
Physical Rehabilitation Occupational Therapist
0000738
CO
363A00000X
Physician Assistant
PA9104022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11282851
—
CO
Enumeration date
07/05/2006
Last updated
03/04/2025
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