Individual
VIRGINIA C FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1012 PIEDMONT AVE SE, VALDESE, NC 28690-3152
(828) 403-6556
Mailing address
PO BOX 909, VALDESE, NC 28690-0909
(828) 403-6556
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2331
NC
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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