Individual
AMY SUE BULLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 MILLS PL, NEW LEBANON, OH 45345-1430
(937) 687-1311
Mailing address
101 MILLS PLACE, NEW LEBANON, OH 45345
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04264
OH
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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