Individual
KELSEY JO BARBOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15531 DIASCUND POINTE TRL, LANEXA, VA 23089-6032
(804) 699-0090
Mailing address
15531 DIASCUND POINTE TRL, LANEXA, VA 23089-6032
(804) 699-0090
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001626
VA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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