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Individual

SUZANNE MARIE LONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
4715 38TH ST, COLUMBUS, NE 68601-1622
(402) 942-9272
(402) 942-9297
Mailing address
2385 141 RD, COLUMBUS, NE 68601-7680
(402) 920-1662

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
965
NE

Other

Enumeration date
05/12/2016
Last updated
05/12/2016
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