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Individual

SUE HOSSACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L, ATP

Contact information

Practice address
3261 GORDON DR, BLACKSBURG, VA 24060-8678
(540) 320-8454
(540) 301-6372
Mailing address
3261 GORDON DR, BLACKSBURG, VA 24060-8678
(540) 320-8454
(540) 301-6372

Taxonomy

Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
RESNA
225X00000X
Occupational Therapist
Primary
0119003829
VA

Other

Enumeration date
04/01/2008
Last updated
12/12/2011
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