Individual
SUSANNE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 CAMPBELL ST SW, ABINGDON, VA 24210-2403
(276) 701-7874
Mailing address
227 CAMPBELL ST SW, ABINGDON, VA 24210-2403
(276) 701-7874
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000827
VA
224Z00000X
Occupational Therapy Assistant
OTA0000001277
TN
224Z00000X
Occupational Therapy Assistant
OTA12225
FL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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