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Individual

MRS. SUSAN C PADGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
321 MOUNT MORIAH RD, BENTON, KY 42025-6944
(270) 556-2454
Mailing address
321 MOUNT MORIAH RD, BENTON, KY 42025-6944
(270) 898-6286

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-003651
IL
225X00000X
Occupational Therapist
Primary
R0983
KY

Other

Enumeration date
01/13/2015
Last updated
01/13/2015
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