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Individual

MRS. SUSAN JEAN MYRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTAL

Contact information

Practice address
390 UNDERWOOD RD, RUSSELLVILLE, AL 35653
(256) 332-3826
(256) 332-3874
Mailing address
390 UNDERWOOD RD, RUSSELLVILLE, AL 35653
(256) 332-3826
(256) 332-3874

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1313
AL

Other

Enumeration date
06/17/2008
Last updated
06/17/2008
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