Individual
ANNA MOSES BOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2526 N MAIN ST, DANVILLE, VA 24540-2333
(434) 836-9510
Mailing address
3260 PIGEON RUN RD, GLADYS, VA 24554-3041
(434) 609-2038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001274
VA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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