Individual
SUSAN MCCOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
125 NE CAMELIA WAY, MADISON, FL 32340-4158
(850) 290-6289
Mailing address
125 NE CAMELIA WAY, MADISON, FL 32340-4158
(850) 290-6289
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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