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Individual

ELLEN KATHERYNE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA-L APPLICANT

Contact information

Practice address
1600 WESTWOOD AVE, RICHMOND, VA 23227-4622
(804) 552-6418
Mailing address
7164 MARECAGE CT, NEW KENT, VA 23124-3121
(804) 944-6102

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
PENDING
VA

Other

Enumeration date
09/24/2024
Last updated
09/24/2024
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