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1588114573
SUSAN DEZELLE
AUSTIN, TX
NPI
1588114573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 117956)
Enumeration Date
2016-10-13
Last Update Date
2018-07-17
Business Address
SUSAN DEZELLE MS, OTR/L
3303 NORTHLAND DR STE 312
AUSTIN, TX 78731
Phone number: 512-291-2669
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Mailing Address
SUSAN DEZELLE MS, OTR/L
3303 NORTHLAND DR STE 312
AUSTIN, TX 78731-4956
Phone number:
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