Individual
MARY ALYSON SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9801 WHITCOMB LN, SAINT LOUIS, MO 63123-6205
(314) 604-4550
Mailing address
9801 WHITCOMB LN, SAINT LOUIS, MO 63123-6205
(314) 604-4550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017029860
MO
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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