Individual
SUSAN LEE KRYDYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-3341
Mailing address
139 ROCHESTER DR, JACKSON, MO 63755-7196
(573) 803-7270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002044
MO
Other
Enumeration date
04/24/2007
Last updated
12/10/2019
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