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Contact Information

SUZANNE L DERVIN
1401 S LAVENTURE RD
MOUNT VERNON, WA98274-6033
 Phone: 360-424-2400
 Fax: 360-424-2418
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SUZANNE L DERVIN · (Female)

NPI Number 1245272632
Status Active
Credentials
Entity Individual
Enumeration date 06/12/2006
Last updated 12/30/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OT00002797
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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