Individual
ASHLEY LAURA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 HATCHER ST, ROCKY MOUNT, VA 24151-1256
(540) 483-9261
Mailing address
300 HATCHER ST, ROCKY MOUNT, VA 24151-1256
(540) 483-9261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002177
VA
Other
Enumeration date
12/31/2019
Last updated
12/31/2019
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