Susan Ann Wacker

NPI #1184454878 in Lake St Louis, Missouri

Provider Information

NPI Number: 1184454878
Entity Type: Individual
Name: Susan Ann Wacker
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 6, 2024
Last Updated: Aug 6, 2024

Practice Location

Address: 100 MEDICAL PLZ
City: Lake St Louis
State: Missouri
ZIP Code: 63367-1366
Phone: (636) 755-3578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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