Individual
SARAH LYN TUSSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 SUPTHIN DR, CHARLESTON, WV 25311
(304) 749-1580
Mailing address
1 SUTPHIN DR, CHARLESTON, WV 25315-1977
(304) 749-1580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1516
WV
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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