Individual
MS. SUSAN ALAINE DAVIS-STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
77 CARIBOU CT, EUREKA, MO 63025-1209
(314) 732-5252
Mailing address
77 CARIBOU CT, EUREKA, MO 63025-1209
(314) 732-5252
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2006026604
MO
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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