Individual
CHAD FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(540) 343-0875
Mailing address
357 SALEM AVE SW APT 219, ROANOKE, VA 24016-3644
(540) 797-6805
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001082
VA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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