Individual
MRS. PATTI LYNN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1229 COUNTY FARM RD, BEDFORD, BEDFORD, VA 24523-3131
(540) 586-8953
Mailing address
222 MEADOW CREEK DR, THAXTON, VA 24174-3204
(540) 586-8953
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000837
VA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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