Individual
SONJA E HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1210 13TH ST, PARKERSBURG, WV 26101-4144
(304) 420-9655
Mailing address
11 BELAVISTA DR, MARIETTA, OH 45750-8226
(740) 629-2474
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1572
WV
224Z00000X
Occupational Therapy Assistant
OTA 01204
OH
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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