Doctor Name: | MS. SUSAN E ANDERSON |
NPI Number: | 1871775148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT/L |
License Number: | 02620 |
Business Practice Address: | 1415 Route 70 E Suite 103 Cherry Hill, NJ - 080342210 |
Business Phone Number: | 8006703893 |
Business Fax Number: | |
Mailing Address: | 12010 Trim Ln, BOWIE |
State: | MD |
Postal Code: | 207152058 |
Phone Number: | 3018050080 |
Fax Number: | |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 11/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 02620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |