Individual
MRS. SUSAN BRADLEY COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13911 SAGEBROOK RD, MIDLOTHIAN, VA 23112-4229
(804) 744-0915
Mailing address
13911 SAGEBROOK RD, MIDLOTHIAN, VA 23112-4229
(804) 744-0915
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000225
VA
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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