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1518399476
SUSAN SMICKLAS WADSWORTH
PONTE VEDRA BEACH, FL
NPI
1518399476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT8659)
Enumeration Date
2013-08-02
Last Update Date
2013-08-02
Business Address
Mrs. SUSAN SMICKLAS WADSWORTH OT
1002 MARSH COVE CT
PONTE VEDRA BEACH, FL 32082-1645
Phone number: 904-962-1299
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Mailing Address
Mrs. SUSAN SMICKLAS WADSWORTH OT
1002 MARSH COVE CT
PONTE VEDRA BEACH, FL 32082-1645
Phone number: 904-962-1299
Copy
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