Individual
MISS VANESSA SHERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5702 GEORGE WASHINGTON MEM HWY, GRAFTON, VA 23692-2878
(345) 678-5123
Mailing address
PO BOX 2062, GRAFTON, VA 23692-2062
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000248
VA
Other
Enumeration date
10/20/2009
Last updated
09/27/2017
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