Individual
TALYA PURDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5519 SLATER STREET, FREDERICKSBURG, VA 22407
(715) 781-4309
Mailing address
5519 SLATER STREET, FREDERICKSBURG, VA 22407
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000906
VA
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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