Individual
SUSAN PEITZ GRUENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1800 WHITE COLUMN ROAD, ROLLA, MO 65401
(573) 578-3375
Mailing address
1800 WHITE COLUMN ROAD, ROLLA, MO 65401
(573) 578-3375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2001002789
MO
Other
Enumeration date
12/06/2012
Last updated
12/14/2012
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