Organization
KASEY COTTERMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KASEY KRISTINE COTTERMAN COTA/L (OCCUPATIONAL THERAPIST ASSISTANT)
(567) 204-7962
Entity
Organization
Contact information
Practice address
8830 VIRGINIA ST, AMELIA COURT HOUSE, VA 23002-4826
(804) 561-5611
Mailing address
5561 FOREST HILL AVE, RICHMOND, VA 23225-2551
(567) 204-7962
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
9
VA
Other
Enumeration date
06/21/2012
Last updated
07/21/2022
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