Individual
ASHLEY NOEL SUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8380 VIRGINIA ST, MERRILLVILLE, IN 46410-6231
(219) 769-9009
Mailing address
8212 PARKVIEW AVE, MUNSTER, IN 46321-1419
(219) 791-3634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007013A
IN
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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