Susan L Britton, COTA

Individual provider Active NPI Occupational Therapy Assistant · Crown Point, IN

NPI 1720316201 · NPPES record last updated Nov 22, 2009

Key facts

NPI
1720316201
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
2890 (SC)
Practice address
431 Cochran Dr
Crown Point, IN 46307-2367
Phone
(219) 628-2031
NPI assigned
Nov 22, 2009
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

LicenseStateTypeSpecialty
11039FLMDOccupational Therapy Assistant
32000513AINMDOccupational Therapy Assistant
2890SCMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2890 SC Yes
Occupational Therapy Assistant 224Z00000X 11039 FL
Occupational Therapy Assistant 224Z00000X 32000513A IN

Addresses

Primary practice location

431 Cochran Dr
Crown Point, IN 46307-2367

Mailing address

431 Cochran Dr
Crown Point, IN 46307-2367
Phone (219) 628-2031

Other providers in Crown Point, IN

All providers in Crown Point, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.