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Individual
MRS. SUSAN REBECCA MENDENHALL
Active
Individual
MRS. SUSAN REBECCA MENDENHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002549L
PA
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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