Provider Demographics
NPI:1104012004
Name:VOORHEES, SUSAN C (OT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:C
Last Name:VOORHEES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:CHADWICK
Other - Last Name:VOORHEES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT
Mailing Address - Street 1:55 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-3644
Mailing Address - Country:US
Mailing Address - Phone:828-253-4628
Mailing Address - Fax:
Practice Address - Street 1:55 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3644
Practice Address - Country:US
Practice Address - Phone:828-253-4628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5742225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist