Individual
ROBERT WADE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
15051 HARMONY HILLS LN, ABINGDON, VA 24211-7661
(276) 623-1004
Mailing address
12508 MOUNTAIN RD, ROSEDALE, VA 24280-3627
(276) 210-5762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001176
VA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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