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1245280072
SUSAN CAROL WHITEHEAD
SAINT LOUIS, MO
NPI
1245280072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056-000618)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
Ms. SUSAN CAROL WHITEHEAD OTR/L
915 N GRAND BLVD 117JC
SAINT LOUIS, MO 63106-1621
Phone number: 314-289-6317
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Mailing Address
Ms. SUSAN CAROL WHITEHEAD OTR/L
9596 PEARIDGE RD
BALDWIN, IL 62217-1712
Phone number: 618-785-2998
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