Individual
MS. VANESSA LAURE FASSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4435 PHEASANT RIDGE RD, ROANOKE, VA 24014-5285
(540) 904-4571
Mailing address
1105 RIDGECREST DR, ROANOKE, VA 24019-6243
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005872
VA
Other
Enumeration date
03/02/2013
Last updated
03/02/2013
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