| NPI | 1114195542 |
|---|---|
| Former Name | SUSAN CAROL REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 395) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 12311) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |