Individual
MR. DAMON LEE SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1616 MAPLE DR, DANVILLE, VA 24541
(434) 688-5545
Mailing address
1616 MAPLE DR, DANVILLE, VA 24540-1038
(434) 688-5545
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000740
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131000740
BOARD OF MEDICINE
VA
Enumeration date
07/27/2018
Last updated
07/27/2018
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