Nesbit, Susan Gayle

Nesbit, Susan Gayle is an individual health care provider with primary practice located at 340 N Mount Vernon Ave , Prescott AZ 86301-2620. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Nesbit, Susan Gayle can be contacted via phone (928) 771-2406.

Contact Information

Primary practice address
340 N Mount Vernon Ave Prescott AZ 86301-2620
Phone: (928) 771-2406
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4090 Arizona

Profile Details

NPI number 1700057684
LBN Legal business name Nesbit, Susan Gayle
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 17 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 1700057684 NPPES
Arizona Other 4090 LICENSE

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