Individual
MRS. VIRGINIA MADRE PUNSALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
789 FILLY RUN, CHARLOTTESVILLE, VA 22903-7364
(804) 379-9265
Mailing address
789 FILLY RUN, CHARLOTTESVILLE, VA 22903-7364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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