Individual
COURTNEY MUSTAIN HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
100 RORER ST, CHATHAM, VA 24531-5455
(434) 432-0471
Mailing address
246 SUNSET DR, DRY FORK, VA 24549-2701
(434) 549-3371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-008219
VA
Other
Enumeration date
07/10/2019
Last updated
11/16/2021
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