Individual
CAROLYN M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1 GREEN HILL DR, VERONA, VA 24482-2654
(540) 213-1201
(540) 213-1204
Mailing address
1 GREEN HILL DR, VERONA, VA 24482-2654
(540) 213-1201
(540) 213-1204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346238
ANTHEM
VA
Enumeration date
04/24/2008
Last updated
05/09/2008
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