Individual
MRS. RHONDA WALLACE KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4513 CINDIWOOD DR, RICHMOND, VA 23236-4744
(804) 745-3916
Mailing address
4513 CINDIWOOD DR, RICHMOND, VA 23236-4744
(804) 745-3916
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000131
VA
Other
Enumeration date
12/27/2009
Last updated
12/27/2009
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