Individual
MS. TANISHA ASHLEY GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2310 WYOMING AVE, NORFOLK, VA 23513-4549
(757) 513-5258
Mailing address
2310 WYOMING AVE, NORFOLK, VA 23513-4549
(757) 513-5258
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001849
VA
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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