Individual
SUSAN K PANYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
730 E 34TH ST, HIBBING, MN 55746-5109
(218) 262-3425
Mailing address
400 E 3RD ST, DULUTH, MN 55805
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
101215
MN
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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