SUSAN D LEE

GWINNER, ND
NPI1073663415
Former NameSUSAN D DEGRAND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ND  587)
Enumeration Date2007-01-10
Last Update Date2007-07-08
Business Address
-- SUSAN D LEE COTA
11 NORTH MAIN STREET
GWINNER, ND 58040-0586
Phone number: 701-678-2244
Mailing Address
-- SUSAN D LEE COTA
PO BOX 586 11 NORTH MAIN STREET
GWINNER, ND 58040-0586
Phone number: 701-678-2244