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1104918549
SUSAN DETAR
MILWAUKIE, OR
NPI
1104918549
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT00001475)
Enumeration Date
2006-09-29
Last Update Date
2007-07-08
Business Address
-- SUSAN DETAR Occupational Therapi
4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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Mailing Address
-- SUSAN DETAR Occupational Therapi
4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
Phone number: 971-206-5140
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