Individual
SUZANNE S ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1544 E WALNUT LAWN ST, SPRINGFIELD, MO 65804-6412
(417) 631-8944
(417) 881-3144
Mailing address
1544 E WALNUT LAWN ST, SPRINGFIELD, MO 65804-6412
(417) 881-2974
(417) 881-3144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001911
MO
Other
Enumeration date
01/30/2008
Last updated
08/17/2010
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