Individual
MS. SUSAN MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 979-8628
(434) 979-8536
Mailing address
2645 HIGH FIELDS RD, KESWICK, VA 22947-1509
(434) 981-5356
(434) 979-8536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000315
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278395
SOUTHERN HEALTH
VA
01
—
7832029
AETNA
VA
Enumeration date
03/21/2007
Last updated
07/08/2007
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