Individual
MRS. KATHERINE HALL VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
6001 LARCHWOOD DR, DISPUTANTA, VA 23842-4446
(804) 712-7528
Mailing address
6001 LARCHWOOD DR, DISPUTANTA, VA 23842-4446
(804) 712-7528
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01190000895
VA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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