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Susan Mockalis, M.S., OTR/L

Occupational Therapist in Valdosta, GA. Individual provider (NPI-1).

NPI number1982157012
StatusActive
Last updated in NPPESJul 25, 2016

Details

NPI
1982157012
Entity type
Individual (NPI-1)
Name
Susan Mockalis
Credential
M.S., OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
Jul 25, 2016
Last updated
Jul 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT006051GAYes

Practice location

304 Emory St
Valdosta, GA 31602-1808

Phone 229-244-1667 · Fax 229-244-8253

Mailing address

2406 Davis Ave
Tifton, GA 31794-3136

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