Individual
SUSAN PERSIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1801 BRANTLEY RD, APT 2014, FORT MYERS, FL 33907-3994
(610) 256-2180
Mailing address
1801 BRANTLEY RD, APT 2014, FORT MYERS, FL 33907-3994
(610) 256-2180
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OT15297
FL
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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