SUSAN DETAR

MILWAUKIE, OR
NPI1104918549
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WA  OT00001475)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
-- SUSAN DETAR Occupational Therapi
4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
Phone number: 971-206-5140
Mailing Address
-- SUSAN DETAR Occupational Therapi
4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
Phone number: 971-206-5140