Individual
MRS. SUSANNE CECIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
208 MICHELLE DR, JEFFERSON CITY, MO 65109-0136
(330) 206-5299
Mailing address
208 MICHELLE DR, JEFFERSON CITY, MO 65109-0136
(330) 206-5299
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2009010789
MO
Other
Enumeration date
10/15/2008
Last updated
06/30/2011
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