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Individual

MRS. SUSAN MARIE HANKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
17433 MCDUFFEE RD, CHURUBUSCO, IN 46723-9262
(260) 693-1711
(260) 693-1711
Mailing address
17433 MCDUFFEE RD, CHURUBUSCO, IN 46723-9262
(260) 693-1711
(260) 693-1711

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
31003445A
IN

Other

Enumeration date
07/07/2009
Last updated
07/07/2009
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