Individual
DR. SUSAN MARGARET MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, PH.D.
Contact information
Practice address
1010 EDGEWORTH AVE, KIRKWOOD, MO 63122-2435
(314) 402-1634
Mailing address
1010 EDGEWORTH AVE, KIRKWOOD, MO 63122-2435
(314) 402-1634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2011027107
MO
225XM0800X
Mental Health Occupational Therapist
Primary
2011027107
MO
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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