Individual
SUSAN A KERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
2645 TIERRA CIR, WINTER PARK, FL 32792-2208
(407) 437-2968
(321) 972-3792
Mailing address
2645 TIERRA CIR, WINTER PARK, FL 32792-2208
(407) 437-2968
(321) 972-3792
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT6909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884104700
—
FL
Enumeration date
12/26/2006
Last updated
12/17/2012
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