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Individual

SUSAN E BAENZIGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
9902 WINDISCH RD, WEST CHESTER, OH 45069-3804
(513) 755-6600
(513) 755-3762
Mailing address
3503 WRENWOOD CT, MASON, OH 45040-8772

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 2692
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2187155
OH
Enumeration date
07/13/2006
Last updated
07/08/2007
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