Individual
COURTNEY PRYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13700 N GAYTON RD, RICHMOND, VA 23233-7017
(804) 360-1960
Mailing address
709 TREYS DR, WINCHESTER, VA 22601-3233
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002292
VA
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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