Most Relevant Information
Provider Data
| NPI Number: | 1003252750 |
| Provider Name: | SUSAN BUNNY HARRAH COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | C1415 |
Most Important Dates
| Enumeration Date: | 05/21/2013 |
| Last Updated: | 05/21/2013 |
Provider Practice Location
66 BAUGHAN RD
HICO
WV
25854
Practice Location Phone/Fax
| Phone: | 3046584211 |
| Fax: |
Provider Mailing Location
66 BAUGHAN RD
HICO
WV
25854
Provider Mailing Phone/Fax
| Phone: | 3046584211 |
| Fax: |