Individual
COLETTE GRACE MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2612 BUFORD RD STE A, NORTH CHESTERFIELD, VA 23235-3422
(804) 806-3933
Mailing address
901 MCDONOUGH ST APT 217, RICHMOND, VA 23224-2285
(571) 455-6948
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002755
VA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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