Individual
MS. SUSAN LOUISE CARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
32 FARMINGTON RD, WEST ROXBURY, MA 02132-1336
(617) 327-7077
Mailing address
32 FARMINGTON RD, WEST ROXBURY, MA 02132-1336
(617) 327-7077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6717
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6717
MASSACHUSETTS LICENSE
MA
Enumeration date
01/16/2007
Last updated
07/08/2007
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