SUSAN SMICKLAS WADSWORTH

PONTE VEDRA BEACH, FL
NPI1518399476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: FL  OT8659)
Enumeration Date2013-08-02
Last Update Date2013-08-02
Business Address
Mrs. SUSAN SMICKLAS WADSWORTH OT
1002 MARSH COVE CT
PONTE VEDRA BEACH, FL 32082-1645
Phone number: 904-962-1299
Mailing Address
Mrs. SUSAN SMICKLAS WADSWORTH OT
1002 MARSH COVE CT
PONTE VEDRA BEACH, FL 32082-1645
Phone number: 904-962-1299