Individual
CARRIE L FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
204 S MAPLE ST, VINTON, VA 24179-2522
(540) 266-6950
(540) 343-3982
Mailing address
5278 GLENVAR HEIGHTS BLVD, SALEM, VA 24153-5859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000646
VA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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