Individual
TRACI COYLE QURESHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
40 BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(804) 784-3514
Mailing address
40 BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(804) 784-3514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003019
VA
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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