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Individual

ALLYSAN ROSE SUCKOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
217 E BREMER AVE, WAVERLY, IA 50677-3435
(319) 352-4544
(319) 352-4655
Mailing address
217 E BREMER AVE, WAVERLY, IA 50677-3435
(319) 352-4544
(319) 352-4655

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
093993
IA

Other

Enumeration date
03/14/2019
Last updated
03/14/2019
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