| NPI | 1144541236 |
|---|---|
| Former Name | SUSAN M THANEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 016017-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 016017-1) |
| Enumeration Date | 2010-06-12 |
| Last Update Date | 2010-06-12 |