Individual
SUE ANN HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
604 STOKES ST E, AHOSKIE, NC 27910-4159
(252) 332-2126
Mailing address
1232 GOOSE RD, ROBERSONVILLE, NC 27871-8992
(252) 799-7577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6434
NC
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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