Individual
MRS. HEATHER NICOLE TRITSAROLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4920 WOODMAR DR SW, ROANOKE, VA 24018-1651
(866) 450-4522
Mailing address
2905 JEFFREY DR, ROANOKE, VA 24018-4335
(540) 613-0904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001463
VA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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