Individual
SUSAN LEAH LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
685 SHARPE SCHOOL RD, CALVERT CITY, KY 42029-9161
(270) 559-9490
Mailing address
685 SHARPE SCHOOL RD, CALVERT CITY, KY 42029-9161
(270) 559-9490
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
135235
KY
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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