Ohanlon, Susan J

Ohanlon, Susan J is an individual health care provider with primary practice located at 24 Coquina Ridge Way , Ormond Beach FL 32174-1815. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ohanlon, Susan J can be contacted via phone (904) 309-0897.

Contact Information

Primary practice address
24 Coquina Ridge Way Ormond Beach FL 32174-1815
Phone: (904) 309-0897
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT10747 Florida

Profile Details

NPI number 1427105956
LBN Legal business name Ohanlon, Susan J
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Oct 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427105956 NPPES
Florida MEDICAID 888292400

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