Individual
SUSAN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
110 EAST SOUTH STREET, BAYFIELD, CO 81122
(970) 884-3259
(970) 884-2842
Mailing address
PO BOX 966, BAYFIELD, CO 81122-0966
(970) 884-3259
(970) 884-2842
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
NBCOT#208009
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611557
ANTHEM BCBS
CO
05
—
87481031
—
CO
Enumeration date
12/11/2006
Last updated
07/08/2007
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