Individual
MRS. ANDREA FRANCES WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CORA/L
Contact information
Practice address
6800 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1511
Mailing address
587 NELWOOD PL, MANAKIN SABOT, VA 23103-2161
(508) 479-7747
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001495
VA
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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