Individual
SUSANNA DILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1410 LONG RUN RD, LOUISVILLE, KY 40245-4334
(502) 244-8011
Mailing address
1410 LONG RUN RD, LOUISVILLE, KY 40245-4334
(502) 244-8011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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