IndividualActive
Susan Lee, COTA
NPI 1073663415 · Occupational Therapy Assistant · Gwinner, ND
Provider details
- NPI number
- 1073663415
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 587 (ND)
Practice location
11 North Main Street
Gwinner, ND 58040-0586
Phone: (701) 678-2244
Fax: (701) 678-2210
Mailing address
Po Box 586
Gwinner, ND 58040-0586
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.