Individual
SUSAN D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
11 NORTH MAIN STREET, GWINNER, ND 58040-0586
(701) 678-2244
(701) 678-2210
Mailing address
PO BOX 586, 11 NORTH MAIN STREET, GWINNER, ND 58040-0586
(701) 678-2244
(701) 678-2210
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
587
ND
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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