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Individual

MS. SUSAN M. KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2773 SKOKIE VALLEY RD, HIGHLAND PARK, IL 60035-1042
(847) 266-9266
Mailing address
1918 LAKE ST, EVANSTON, IL 60201-3925
(847) 910-6446
(847) 328-0234

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
056005363
IL

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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