Individual
ASPEN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(540) 345-5111
Mailing address
105 OAKRIDGE DR, THAXTON, VA 24174-2602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001040
VA
Other
Enumeration date
08/06/2012
Last updated
01/25/2024
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