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Individual

MS. SUSAN LENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI

Contact information

Practice address
3026 HIDDEN LAKE PT, OWENSBORO, KY 42303-4455
(270) 316-1499
Mailing address
323 S CYPRESS ST, BOONVILLE, IN 47601-1739

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31003543A
IN
225X00000X
Occupational Therapist
Primary
KYR2829
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11903135
KY
05
33000035
KY
05
45118379
KY
Enumeration date
12/27/2006
Last updated
05/01/2009
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