Provider Demographics
NPI:1639630650
Name:JOBSKI, SUZANNE MARY (OTD, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:MARY
Last Name:JOBSKI
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HAMERICK RD
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-3734
Mailing Address - Country:US
Mailing Address - Phone:847-875-2720
Mailing Address - Fax:
Practice Address - Street 1:75 TURNPIKE RD # 3C
Practice Address - Street 2:
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-1046
Practice Address - Country:US
Practice Address - Phone:978-356-0315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-31
Last Update Date:2019-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12374225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics