Individual
MS. MANDY MICHELLE PURGASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
508 RISON ST, DANVILLE, VA 24541
(434) 799-4540
Mailing address
508 RISON ST, DANVILLE, VA 24541
(434) 441-2243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000005
VA
Other
Enumeration date
06/10/2009
Last updated
07/30/2025
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