Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CORWIN SUTHERIN
Active Sole ProprietorMR. CORWIN SUTHERIN is a Occupational Therapist healthcare provider located in SHELLEY, Idaho. NPI 1104035120 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SHELLEY, ID
Registration Details
- NPI Number
- 1104035120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.273311561557 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OT-253 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1452 N 1180 ESHELLEY, ID, 832745100Browse ID providers · Browse ZIP 83274
- Phone
- 2082822590
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.