Individual
MIRANDA SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 DEER RUN RD, DANVILLE, VA 24540-2863
(434) 797-5531
Mailing address
175 DEER RUN RD, DANVILLE, VA 24540-2863
(434) 797-5531
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119007251
VA
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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