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Individual

SUSAN HEDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
250 INTERNATIONAL PKWY, LAKE MARY, FL 32746-5030
(407) 833-8815
Mailing address
438 LAKEPARK TRL, OVIEDO, FL 32765-8274
(407) 625-9192

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
OT13267
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT13267
FL

Other

Enumeration date
11/28/2008
Last updated
12/10/2015
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