Individual
ASHLEY NICOLE RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 N JEFFERSON ST, ROANOKE, VA 24016-1401
(540) 343-3484
Mailing address
111 WINDWARD DR SW, ROANOKE, VA 24018-0713
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007633
VA
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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