| NPI | 1184097149 |
|---|---|
| Former Name | SUSAN BRENDA DUQUETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 1078) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 6677) |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |