ALLYSAN ROSE SUCKOW

WAVERLY, IA
NPI1265991749
Former NameALLYSAN R WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IA  093993)
Enumeration Date2019-03-14
Last Update Date2019-03-14
Business Address
ALLYSAN ROSE SUCKOW OTR
217 E BREMER AVE
WAVERLY, IA 50677-3435
Phone number: 319-352-4544
Mailing Address
ALLYSAN ROSE SUCKOW OTR
217 E BREMER AVE
WAVERLY, IA 50677-3435
Phone number: 319-352-4544
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