Durham, Susan Ashley

Durham, Susan Ashley is an sole proprietor health care provider with primary practice located at 276 Fountain Ln , Kimberling City MO 65686-9356. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Durham, Susan Ashley can be contacted via phone (417) 739-2481.

Contact Information

Primary practice address
276 Fountain Ln Kimberling City MO 65686-9356
Phone: (417) 739-2481
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2005023369 Missouri

Profile Details

NPI number 1154587699
LBN Legal business name Durham, Susan Ashley
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2008
Last updated Aug 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154587699 NPPES
Missouri Other 2005023369 STATE LICENSURE NUMBER FOR OCCUPATIONAL THERAPY ASSISTANT

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