Individual
MRS. BRIANNA PROCHNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
270 W YORK ST UNIT 3701, NORFOLK, VA 23510-1569
(701) 899-9055
Mailing address
270 W YORK ST UNIT 3701, NORFOLK, VA 23510-1569
(701) 899-9055
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001257
VA
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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