Susan Belle Houle, OTR/L

Individual provider Active NPI Occupational Therapist · Raton, NM

NPI 1114205259 · NPPES record last updated Mar 21, 2012

Key facts

NPI
1114205259
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2599 (NM)
Practice address
160 Hospital Dr
Raton, NM 87740-2002
Phone
(575) 445-0111
Fax
(575) 445-0112
NPI assigned
Jul 22, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2599 NM Yes

Addresses

Primary practice location

160 Hospital Dr
Raton, NM 87740-2002

Mailing address

33 Dillon Creek Rd
Raton, NM 87740-3546
Phone (575) 445-2418

Other providers in Raton, NM

All providers in Raton, NM · Occupational Therapist in New Mexico

Sources for this page

Verify at the official NPI Registry.