Individual
MRS. KERRY D PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
3585 BRAMBLETON AVE, GENESIS REHAB SERVICES AT LOYALTON OF ROANOKE, ROANOKE, VA 24018-6521
(540) 776-1029
(540) 776-1038
Mailing address
726 OAKVIEW DR, SALEM, VA 24153-4826
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000038
VA
Other
Enumeration date
05/04/2009
Last updated
02/14/2012
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