SUSAN GAIL VANDER WYK

POWDER SPRINGS, GA
NPI1407920093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT003062)
Enumeration Date2006-11-17
Last Update Date2007-07-09
Business Address
Mrs. SUSAN GAIL VANDER WYK OTR
638 GOLDENWOOD CT
POWDER SPRINGS, GA 30127-6406
Phone number: 770-423-9775
Mailing Address
Mrs. SUSAN GAIL VANDER WYK OTR
638 GOLDENWOOD CT
POWDER SPRINGS, GA 30127-6406
Phone number: 770-423-9775
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