Individual
STEPHANIE DANIELLE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
75 S COUNTY ROAD 400 E, AVON, IN 46123-9410
(317) 745-5184
Mailing address
286 GREAT LAKES CIR W APT G, AVON, IN 46123-3722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001000A
IN
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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