Individual
SUSANNE MAPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11105 KNOTT AVE, SUITE A, CYPRESS, CA 90630-5137
(714) 893-7399
(714) 893-7389
Mailing address
11105 KNOTT AVE, SUITE A, CYPRESS, CA 90630-5137
(714) 893-7399
(714) 893-7389
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2806
CA
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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