Individual
JASON A SUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
323 N BREIEL BLVD, MIDDLETOWN, OH 45042-3868
(513) 420-1700
(513) 420-9700
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009788
OH
Other
Enumeration date
07/09/2008
Last updated
07/23/2020
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