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Individual

MS. SUSAN ANN PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
KLARAS CHILDREN'S CENTER ECI, 110 S. 12TH STREET, WACO, TX 76703-0890
(254) 752-3451
(254) 296-2932
Mailing address
3115 CUMBERLAND AVE, WACO, TX 76707-1220
(254) 757-0640

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
106433
TX

Other

Enumeration date
12/22/2005
Last updated
09/06/2007
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