Provider Demographics
NPI:1639598774
Name:EISEMAN, SUSANNE CAROLINE (BSC , DIPLOMA)
Entity Type:Individual
Prefix:MS
First Name:SUSANNE
Middle Name:CAROLINE
Last Name:EISEMAN
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Gender:F
Credentials:BSC , DIPLOMA
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Mailing Address - Street 1:8899 E PRENTICE AVE APT 6308
Mailing Address - Street 2:GREENWOOD VILLAGE,
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3355
Mailing Address - Country:US
Mailing Address - Phone:720-201-3437
Mailing Address - Fax:
Practice Address - Street 1:5420 S QUEBEC ST STE 103
Practice Address - Street 2:GREENWOOD VILLAGE
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1902
Practice Address - Country:US
Practice Address - Phone:303-221-7827
Practice Address - Fax:303-322-5550
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist