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Individual

CARISSA NAOMI WORM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
432 KENDALL HVN, SMITHFIELD, VA 23430-5837
(757) 345-9166
Mailing address
432 KENDALL HVN, SMITHFIELD, VA 23430-5837
(757) 345-9166

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119006560
VA

Other

Enumeration date
03/19/2015
Last updated
03/25/2015
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