Individual
MRS. MARTICA LYN HEUSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
40 BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(804) 784-3514
Mailing address
812 CYPRESS CT, MANAKIN SABOT, VA 23103-3154
(804) 784-3806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002716
VA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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