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Individual

MRS. SUZANNA LADONNA EWING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT WV 1319

Contact information

Practice address
200 S RITCHIE AVE, RAVENSWOOD, WV 26164-1721
(304) 273-9385
Mailing address
295 WRIGHT ST, POMEROY, OH 45769-1008

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1319
WV
225X00000X
Occupational Therapist
6741
OH

Other

Enumeration date
05/26/2017
Last updated
01/12/2021
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