Individual
MARK ROMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
5034 GREEN LEVEL RD, SCOTTSBURG, VA 24589-3044
(434) 579-4682
Mailing address
5034 GREEN LEVEL RD, SCOTTSBURG, VA 24589-3044
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004981
VA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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