Individual
MR. ROBERT MICHALIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 WILLOW OAK DR, FOREST, VA 24551-2994
(434) 851-4917
Mailing address
1050 WILLOW OAK DR, FOREST, VA 24551-2994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003480
VA
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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