Individual
SUSAN PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
HC 1 BOX 770, KAUNAKAKAI, HI 96748-8614
(808) 558-8253
Mailing address
HC1 BOX 770, KAUNAKAKAI, HI 96748
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-94
HI
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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