Provider Demographics
NPI:1831232529
Name:MAY, SUZANNE T (OTR)
Entity type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:T
Last Name:MAY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 E AZTEC AVE
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-5509
Mailing Address - Country:US
Mailing Address - Phone:505-721-1807
Mailing Address - Fax:
Practice Address - Street 1:113 LONGWOOD DR SW
Practice Address - Street 2:SUITE D
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4556
Practice Address - Country:US
Practice Address - Phone:256-536-2699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0254225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-02250OtherBLUE CROSS BLUE SHIELD