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Individual

HEATHER SUZANNE SUTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
515 N MAIN ST, AVILLA, IN 46710-9601
(260) 897-2841
Mailing address
810 DUESENBERG DR, AUBURN, IN 46706-3219
(260) 908-7579

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32001646A
IN
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary

Other

Enumeration date
05/06/2019
Last updated
05/06/2019
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