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1114298353 NPI number — SUSAN M MCCALLUM WINTERS OTR/L, CHT

NPI Number: 1114298353
Health Care Provider/Practitioner: SUSAN M MCCALLUM WINTERS OTR/L, CHT

Information about “1114298353” NPI (SUSAN M MCCALLUM WINTERS OTR/L, CHT) exists in 1114298353 in HTML format HTML  |  1114298353 in plain Text format TXT  |  1114298353 in PDF (Portable Document Format) PDF  |  1114298353 in an XML format XML  formats.

NPI Number : 1114298353 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1114298353",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MCCALLUM WINTERS",
    "FirstName": "SUSAN",
    "MiddleName": "M",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OTR/L, CHT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WINTERS",
    "OtherFirstName": "SUSAN",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "OTR/L, CHT",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 776087",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STEAMBOAT SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80477-6087",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-846-5202",
    "MailingAddressFaxNumber": "970-300-3112",
    "FirstLinePracticeLocationAddress": "941 LINCOLN AVE SUITE 200 C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STEAMBOAT SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80487-3062",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-879-6556",
    "PracticeLocationAddressFaxNumber": "970-300-3112",
    "EnumerationDate": "01/19/2012",
    "LastUpdateDate": "01/23/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "973",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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