Individual
BRIANNA LATRICE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6800 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1511
Mailing address
1021 CARLISLE AVE APT 320, RICHMOND, VA 23231-3337
(843) 245-8841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131-002478
VA
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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