Organization
OT FUNDAMENTALS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LEIGH ANNE EPPERSON OTR/L (PRESIDENT)
(757) 749-9458
Entity
Organization
Contact information
Practice address
1816 PITTSBURG LNDG, VIRGINIA BEACH, VA 23464-8768
(757) 749-9458
Mailing address
1816 PITTSBURG LNDG, VIRGINIA BEACH, VA 23464-8768
(757) 749-9458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0019003465
VA
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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