Individual
MISS MISTY ALTONAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4650 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1003
(757) 490-3223
(757) 490-2936
Mailing address
4650 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1003
(757) 490-3223
(757) 490-2936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001549
VA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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