Individual
MS. GLORIA JEAN PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15051 HARMONY HILLS LN, ABINGDON, VA 24211-7661
(276) 451-2590
(276) 619-2488
Mailing address
15051 HARMONY HILLS LN, ABINGDON, VA 24211-7661
(276) 451-2590
(276) 619-2488
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000701
VA
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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