Individual
SUSAN BETH MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 ORCHID CT, PLYMOUTH, IN 46563-9154
(219) 764-4888
(219) 764-7676
Mailing address
200 ORCHID CT, PLYMOUTH, IN 46563-9154
(219) 764-4888
(219) 764-7676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002339A
IN
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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