Individual
MRS. SHANNON WARD SUTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L, CLT
Contact information
Practice address
11802 BRINLEY AVE, SUITE 100, LOUISVILLE, KY 40243-1089
(502) 244-1210
Mailing address
58 LAKE AVE, LOUISVILLE, KY 40206-3307
(314) 346-2856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005198A
IN
Other
Enumeration date
01/17/2012
Last updated
05/12/2015
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