Individual
SUSANNA KENEDA DUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
535 CEDAR WOOD WAY, JEFFERSON, GA 30549-8849
(678) 481-7843
Mailing address
535 CEDAR WOOD WAY, JEFFERSON, GA 30549-8849
(678) 481-7843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003932
GA
Other
Enumeration date
12/21/2009
Last updated
04/18/2022
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