Individual
SAIDAT SANUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8936 SOUTH SHELBY, STE A-1, INDIANAPOLIS, IN 46227-6264
(317) 888-3838
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005280A
IN
Other
Enumeration date
06/10/2015
Last updated
06/26/2015
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