Susan D Lee, COTA
Individual provider Active NPI Occupational Therapy Assistant · Gwinner, ND
NPI 1073663415 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073663415
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 587 (ND)
- Practice address
- 11 North Main Street
Gwinner, ND 58040-0586 - Phone
- (701) 678-2244
- Fax
- (701) 678-2210
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 587 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 587 | ND | Yes |
Addresses
Primary practice location
11 North Main Street
Gwinner, ND 58040-0586
Mailing address
PO Box 586
11 North Main Street
Gwinner, ND 58040-0586
Phone (701) 678-2244
Other names
- Susan D Degrand
Other providers in Gwinner, ND
- Stacy Deibert
- Denzel Health Care LLC
- Helena Gorpu Hallowanger
- Debora Hegg
- Ronald D Jacobson
- Charles A Long
- Ryan Richard Lorenz
- Roberta M Lucio
- Mobilityplus Rehabilitation LTD
- Rebecca Nelson
All providers in Gwinner, ND · Occupational Therapy Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.