Individual
MACY E FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 POPLAR DR STE 4, PETERSBURG, VA 23805-9391
(804) 733-7233
Mailing address
321 POPLAR DR STE 4, PETERSBURG, VA 23805-9391
(804) 733-7233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006883
VA
Other
Enumeration date
01/27/2021
Last updated
09/04/2024
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