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1427203462
SUSAN MARIE WALLACE
SPARTANBURG, SC
NPI
1427203462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 539)
Enumeration Date
2008-11-18
Last Update Date
2008-11-18
Business Address
Mrs. SUSAN MARIE WALLACE O.T.R.
355 OAK GROVE RD
SPARTANBURG, SC 29301-2537
Phone number: 864-595-4225
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Mailing Address
Mrs. SUSAN MARIE WALLACE O.T.R.
15 WYNDHAVEN CT
SIMPSONVILLE, SC 29681-5289
Phone number: 864-297-0014
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