Individual
SUSAN CONLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12862 STATE ROUTE 180, ASHLAND, KY 41102-8939
(606) 928-5805
Mailing address
809 KIBBEY ST, GRAYSON, KY 41143-1131
(606) 225-7160
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
137285
KY
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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