Provider Demographics
NPI:1770340002
Name:DAHIR, SUSAN RENEE (OTD)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:RENEE
Last Name:DAHIR
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17461 E BELLEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2068
Mailing Address - Country:US
Mailing Address - Phone:310-562-7812
Mailing Address - Fax:
Practice Address - Street 1:17461 E BELLEWOOD CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2068
Practice Address - Country:US
Practice Address - Phone:310-562-7812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001881225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist