Individual
MS. SUSAN MCCORMICK ANDRESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
148 SOLTERRA WAY, DURHAM, NC 27705-7314
(919) 489-8162
Mailing address
148 SOLTERRA WAY, DURHAM, NC 27705-7314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5831
NC
225X00000X
Occupational Therapist
—
IL
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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