Provider Demographics
NPI:1356590947
Name:EMERSON, SUSAN A (OTR, CHT, CEES)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:A
Last Name:EMERSON
Suffix:
Gender:F
Credentials:OTR, CHT, CEES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 BRIXHAM RD.
Mailing Address - Street 2:PO BOX 627
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909
Mailing Address - Country:US
Mailing Address - Phone:207-351-3175
Mailing Address - Fax:207-351-3175
Practice Address - Street 1:41 BRIXHAM RD.
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909
Practice Address - Country:US
Practice Address - Phone:207-351-3175
Practice Address - Fax:207-351-3175
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH97225X00000X, 225XE1200X, 225XH1200X
ME150225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand