Individual
JULIA PERVOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
982 BEN BOLT AVE, TAZEWELL, VA 24651-9706
(276) 988-5946
(276) 988-5975
Mailing address
982 BEN BOLT AVE, TAZEWELL, VA 24651-9706
(276) 988-5946
(276) 988-5975
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006362
VA
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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