Individual
KATIE ENIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(540) 797-2166
Mailing address
245 NORTH ST, BRISTOL, VA 24201-3274
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001886
VA
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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