Individual
MRS. SUZI JEANETTE SOUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5419 N LOVINGTON HWY, HOBBS, NM 88240
(575) 492-5000
Mailing address
1301 ROSE LN, HOBBS, NM 88240
(575) 738-0041
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2356
NM
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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