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NPI Code Detail

MEDICARE: MS. SUSAN H HARMON CPRP, OTL

MEDICARE: MS. SUSAN H HARMON CPRP, OTL
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 Therapist073NC

General Provider Information

NPI Number : 1245340272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUSAN H HARMON CPRP, OTL
Provider Business Mailing Address
First Line : 24 BURTON AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27606-1208
Country : US
Telephone Number : 919-715-1706
Fax Number : 919-733-9761
Provider Business Practice Location Address
First Line : 820 S BOYLAN AVE
Second Line :
City : RALEIGH
State : NC
Zip : 27603-2246
Country : US
Telephone Number : 919-715-1706
Fax Number : 919-733-9761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 07/08/2007

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