MEDICARE: SUZANNE STEVENS-STRUNKS OTRL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	3318	OH

General Provider Information

NPI Number	:	1750449914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE STEVENS-STRUNKS OTRL

Provider Business Mailing Address
First Line	:	7981 TWIN CREEK TRCE
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-2274
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7981 TWIN CREEK TRCE
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-2274
Country	:	US
Telephone Number	:	513-779-2274
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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