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Individual

ZACHARIAH SCOTT CLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2801 TURNPIKE RD, PORTSMOUTH, VA 23707-4630
(757) 393-8822
Mailing address
11219 DOUBLETREE CT, ALEXANDRIA, KY 41001-7925
(859) 640-9674

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008390
VA
225XP0200X
Pediatric Occupational Therapist
0119008390
VA

Other

Enumeration date
11/12/2019
Last updated
11/12/2019
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