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Individual

MR. MARK O OKAFOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
935 FAIRYSTONE PARK HWY, STANLEYTOWN, VA 24168-3014
(276) 622-3636
(888) 724-0268
Mailing address
935 FAIRYSTONE PARK HWY, STANLEYTOWN, VA 24168-3014
(276) 622-3636

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003394
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
743117794
MEDRISK
VA
Enumeration date
11/18/2005
Last updated
07/11/2018
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