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NPI Code Detail

MEDICARE: SUZANNE MENIUS

MEDICARE: SUZANNE MENIUS
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 Therapist10445NC

General Provider Information

NPI Number : 1639522915
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE MENIUS
Provider Business Mailing Address
First Line : 2007 WASHINGTON ST
Second Line :
City : DURHAM
State : NC
Zip : 27704-4159
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10810 SANDY OAK LN
Second Line :
City : RALEIGH
State : NC
Zip : 27614-8386
Country : US
Telephone Number : 919-846-7147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2016
Last Update Date : 07/21/2016

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Directions to “ SUZANNE MENIUS ” Practice Location

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