Individual
ASHLEY PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4335 BRAMBLETON AVE, ROANOKE, VA 24018-3404
(540) 315-3210
Mailing address
747 WAYLAND ST NE, ROANOKE, VA 24012-8222
(540) 420-0308
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002757
VA
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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