Provider Demographics
NPI:1790990786
Name:DOTTIN, SUZIE AUGUSTE (COTA)
Entity Type:Individual
Prefix:MRS
First Name:SUZIE
Middle Name:AUGUSTE
Last Name:DOTTIN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:SUZIE
Other - Middle Name:
Other - Last Name:AUGUSTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5100 CRESTHAVEN BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-8618
Mailing Address - Country:US
Mailing Address - Phone:561-964-2828
Mailing Address - Fax:
Practice Address - Street 1:5100 CRESTHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-8618
Practice Address - Country:US
Practice Address - Phone:561-964-2828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant