Provider Demographics
NPI:1659607604
Name:DODDS, SUZANNE B (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:B
Last Name:DODDS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 E CITRUS WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85250-5719
Mailing Address - Country:US
Mailing Address - Phone:480-991-0108
Mailing Address - Fax:
Practice Address - Street 1:8614 E CITRUS WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-5719
Practice Address - Country:US
Practice Address - Phone:480-991-0108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0112225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist