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NPI Code Detail

MEDICARE: SOUTSADA SIPASEUTH

MEDICARE: SOUTSADA SIPASEUTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1548922446
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOUTSADA SIPASEUTH
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5959 CORSON AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-2605
Country : US
Telephone Number : 206-971-7466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2021
Last Update Date : 10/07/2021

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Directions to “ SOUTSADA SIPASEUTH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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