Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 100645 | MN |
Y | 2251E1200X | Ergonomics | 100645 | MN |
Y | 225XE1200X | Ergonomics | 100645 | MN |
NPI | 1619127909 |
---|---|
Provider Name | Susan M Unger |
First Address | Woodbury, MN 55125-4925 |
Second Address | St Paul, MN 55104-7633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2008 |
Last Update Date | 02/07/2015 |