SUSAN ANN WACKER

LAKE ST LOUIS, MO
NPI1184454878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2005018057)
Enumeration Date2024-08-06
Last Update Date2024-08-06
Business Address
SUSAN ANN WACKER
100 MEDICAL PLZ
LAKE ST LOUIS, MO 63367-1366
Phone number: 636-755-3578
Mailing Address
SUSAN ANN WACKER
202 TOWNVIEW CT
WENTZVILLE, MO 63385-2925
Phone number: