Individual
MRS. CAROL ANNE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2924 BROOK RD, RICHMOND, VA 23220-1215
(804) 228-5972
(804) 228-5989
Mailing address
2224 LOCH BRAEMAR DR, RICHMOND, VA 23236-1611
(804) 674-0096
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119001537
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008953244
—
VA
Enumeration date
11/10/2006
Last updated
07/08/2007
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