Provider Demographics
NPI:1588312045
Name:HAASER, SUSANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:SUSANNE
Middle Name:
Last Name:HAASER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BIGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06013-1425
Mailing Address - Country:US
Mailing Address - Phone:860-977-3984
Mailing Address - Fax:
Practice Address - Street 1:376 GOSHEN RD
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-2722
Practice Address - Country:US
Practice Address - Phone:860-530-6670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist