Individual
SUSAN BUNNY HARRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
66 BAUGHAN RD, HICO, WV 25854
(304) 658-4211
Mailing address
66 BAUGHAN RD, HICO, WV 25854
(304) 658-4211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1415
WV
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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