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Individual

MRS. SUSAN KATHERINE WALTERS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5059 VILLAGE GREEN DR, MASON, OH 45040-5691
(513) 573-9027
Mailing address
5059 VILLAGE GREEN DR, MASON, OH 45040-5691
(513) 573-9027

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05890
OH

Other

Enumeration date
05/10/2006
Last updated
07/08/2007
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