Individual
MS. SUSAN JACOBS WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19200 RIVERVIEW LN NE, NEW LONDON, MN 56273-9789
(320) 354-5536
Mailing address
19200 RIVERVIEW LN NE, NEW LONDON, MN 56273-9789
(320) 354-5536
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
101583
MN
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
101583
MN
225XP0200X
Pediatric Occupational Therapist
101583
MN
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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