Doctor Name: | SUE TROTTER |
NPI Number: | 1699945279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PENDING |
Business Practice Address: | 13795 S 309th East Ave Coweta, OK - 744295760 |
Business Phone Number: | 9184863838 |
Business Fax Number: | |
Mailing Address: | 13795 S 309th East Ave, COWETA |
State: | OK |
Postal Code: | 744295760 |
Phone Number: | 9184863838 |
Fax Number: | |
NPI Enumeration Date: | 03/10/2008 |
NPI Last Update Date: | 03/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1300X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Human Factors |
Taxonomy Definition: |