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Individual

SUSAN CANDELA BAROCELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
901 W 14TH ST STE 210, WASHINGTON, MO 63090-4198
(636) 432-0008
(636) 283-2863
Mailing address
18 STEEPLE HILL LN, BALLWIN, MO 63011-2733
(314) 780-7685

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000308
MO

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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