Individual
SUZETTE ALENE MATHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12083 LENOVER ST, DILLSBORO, IN 47018
(812) 432-5226
(812) 432-5286
Mailing address
12083 LENOVER ST, DILLSBORO, IN 47018
(812) 432-5226
(812) 432-5286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000108A
IN
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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