Individual
SARA C BUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1601 ARMORY DR, UTICA, NY 13501-5405
(315) 724-5761
(315) 738-7777
Mailing address
1601 ARMORY DR, UTICA, NY 13501-5405
(315) 724-5761
(315) 738-7777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004225
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474180
—
NY
Enumeration date
10/22/2010
Last updated
04/06/2016
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