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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Suzie S Witherell · Suzie S. Witherell | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | Suzie | [sources] | |||
| ID Number | OC004811L | [sources] | |||
| Last name | Witherell | [sources] | |||
| Middle name | S · S. | [sources] | |||
| NPI | 1598772980 | [sources] | |||
| Title | O.T.R./L · OTR/L | [sources] | |||
| Address | McKean, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-09503ca29b7914ab413e2add096d54d9a62e965a · us-medpa-700e97465249280da0f87d082182b51d145d4a43For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Department of Human Services | - | |||
| United States of America | Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| McKean, PA | United States of America | |