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Individual
MRS. SALLY MARIE NURSE
Active
Individual
MRS. SALLY MARIE NURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000786A
IN
225XP0200X
Pediatric Occupational Therapist
—
NULL
Other
Enumeration date
09/04/2017
Last updated
10/19/2017
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