Individual
SUSAN JAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1338A COLEGATE DR, MARIETTA, OH 45750
(740) 373-6669
(740) 376-5809
Mailing address
1338A COLEGATE DR, MARIETTA, OH 45750
(740) 373-6669
(740) 376-5809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1288
WV
225X00000X
Occupational Therapist
OH-006709
OH
225XP0200X
Pediatric Occupational Therapist
Primary
OH-006709
OH
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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