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Individual

MRS. BETSY GRAY FLOWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
207 NORTHGATE CT, RICHMOND, VA 23236-3190
(804) 897-9850
(804) 897-0395
Mailing address
207 NORTHGATE CT, RICHMOND, VA 23236-3190
(804) 897-9850
(804) 897-0395

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01314000070
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N/A
N/A
VA
Enumeration date
07/26/2013
Last updated
07/26/2013
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