Individual
KELLY SUDNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
606 S 9TH ST, LEESBURG, FL 34748-6320
(352) 805-4404
Mailing address
1805 NE 40TH CT, OCALA, FL 34470-5033
(352) 286-5985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18390
FL
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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