Individual
MS. ELIZABETH ANN FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
840 PLANTATION RD, APT. 303, BLACKSBURG, VA 24060-3864
(336) 529-2794
Mailing address
840 PLANTATION RD, APT. 303, BLACKSBURG, VA 24060-3864
(336) 529-2794
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001533
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N/A
N/A
—
Enumeration date
06/22/2012
Last updated
06/22/2012
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