Individual
MRS. KATELYNNE MAY SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
164 CAMPBELL LN, TAZEWELL, VA 24651-9783
(276) 988-5946
Mailing address
502 MADISON AVE S, PULASKI, VA 24301-6530
(540) 808-9981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007988
VA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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