Individual
MS. SUSAN CAROL WHITEHEAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
915 N GRAND BLVD, 117JC, SAINT LOUIS, MO 63106-1621
(314) 289-6317
(314) 289-7037
Mailing address
9596 PEARIDGE RD, BALDWIN, IL 62217-1712
(618) 785-2998
(314) 289-7037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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