Individual
SUZANNE CHURCH WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 TABERNACLE RD, BLACK MOUNTAIN, NC 28711-7733
(828) 357-3611
Mailing address
1671 LANDIS LN, NEBO, NC 28761-6818
(828) 925-1772
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14668
NC
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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