Individual
CAROLINA ULLOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1508 VOLVO PKWY, CHESAPEAKE, VA 23320-8293
(757) 785-4578
Mailing address
910 DEVASTATOR RUN, VIRGINIA BEACH, VA 23453-1524
(252) 933-6444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010744
VA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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