Susan Mary Lee, OTR/L
Individual provider Active NPI Early Intervention Provider Agency · Tarentum, PA
NPI 1093487068 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1093487068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- OC003217L (PA)
- Practice address
- 410 E 4TH Ave
Tarentum, PA 15084-1810 - Phone
- (724) 594-0676
- Fax
- (724) 594-0672
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| OC003217L | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | OC003217L | PA | |
| Early Intervention Provider Agency | 252Y00000X | OC003217L | PA | Yes |
Addresses
Primary practice location
410 E 4TH Ave
Tarentum, PA 15084-1810
Mailing address
410 E 4TH Ave
Tarentum, PA 15084-1810
Phone (724) 545-2740
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All providers in Tarentum, PA · Early Intervention Provider Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. 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.