Individual
SUSAN KAYE HODAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2411 SIR JOHNS CT, LOUISVILLE, KY 40220-1085
(502) 439-6418
Mailing address
2411 SIR JOHNS CT, LOUISVILLE, KY 40220-1085
(502) 439-6418
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
136684
KY
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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