Individual
DAWN MARIE GREENOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1186 BRIGADE PL, FOREST, VA 24551-1737
(434) 525-7029
Mailing address
1186 BRIGADE PLACE, FOREST, VA 24551-1737
(434) 525-7029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131-001762
VA
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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