Individual
MARTHA CARTER BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 COURTS DR, PRINCE GEORGE, VA 23875-2562
(804) 733-2700
Mailing address
923 KENT RD APT 3, RICHMOND, VA 23221-1217
(757) 810-2705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008376
VA
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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