| NPI | 1831755024 |
|---|---|
| Former Name | SUZANNE OVERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056012993) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096003862) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2023-08-09 |