Individual
SUSAN MARY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
410 E 4TH AVE, TARENTUM, PA 15084-1810
(724) 594-0676
(724) 594-0672
Mailing address
410 E 4TH AVE, TARENTUM, PA 15084-1810
(724) 545-2740
(724) 545-2740
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC003217L
PA
252Y00000X
Early Intervention Provider Agency
Primary
OC003217L
PA
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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