Individual
MRS. SUZANNE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
6655 FENWAY ST, PITTSBORO, IN 46167-9044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000261A
IN
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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