Individual
MELISSA EILEEN SUERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 S STATION RD, GLEN CARBON, IL 62034-2739
(618) 288-5014
Mailing address
445 E 3RD ST, ALTON, IL 62002-2410
(618) 792-2422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005366
IL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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