Tara Ashlee Newberry COTA

NPI 1275704041 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1275704041
Gender Female
Enumeration Date 03/19/2008
Last Updated 03/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
700 RANDOLPH ST
RADFORD VA, 24141-2430, US
Phone (540) 633-3708
Fax
Business Location
1407 LAKEWOOD DR
PULASKI VA, 24301-9318, US
Phone (540) 633-3708
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Virginia
License Number 1046889
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According to our database, Mrs. Tara Ashlee Newberry COTA NPI is 1275704041, taxonomy code is 224Z00000X and license number is 1046889, license state is located at Virginia. Tara Ashlee Newberry COTA physically located at 700 Randolph St, Radford VA, 24141-2430. NPI Number Tara Ashlee Newberry COTA has the Individual type.

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1275704041 NPI number is provided on an as is basis without warranty of any kind. 1275704041 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Ashlee Newberry COTA are for informational purposes only.