Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 5306 | NC |
NPI | 1912257205 |
---|---|
Provider Name | Mrs. Suzanne Spearman Worley |
First Address | Salisbury, NC 28144-5720 |
Second Address | Salisbury, NC 28144-5720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2012 |
Last Update Date | 13/09/2012 |