Individual
SUSAN GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
17512 SHADY RD, LEWES, DE 19958-6236
(302) 444-8318
(302) 444-8309
Mailing address
17512 SHADY RD, LEWES, DE 19958-6236
(302) 444-8318
(302) 444-8309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00359400
NY
225X00000X
Occupational Therapist
Primary
U1-0012526
DE
Other
Enumeration date
09/12/2011
Last updated
11/10/2023
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