Individual
MRS. VERONICA LEIGH WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
301 NORTH 9TH STREET, EXCEPTIONAL EDUCATION, RICHMOND, VA 23219
(804) 780-7312
Mailing address
10303 SLIDINGROCK DR, MECHANICSVILLE, VA 23116-8723
(804) 366-1544
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119000763
VA
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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