# SUSAN A RUDEEN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760254759
- **Authorized official:** SUSAN ANN RUDEEN OTR (OWNER)
- **Authorized official phone:** (860) 670-1939

## Contact information

- **Practice address:** 136 MAIN ST, SUITE 201, DANIELSON, CT 06239-0623
- **Practice address phone:** (860) 670-1939
- **Mailing address:** 50 MAXWELL DR, VERNON, CT 06066-5600
- **Mailing address phone:** (860) 670-1939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2023
- **Last updated:** 04/30/2024