Individual
AUDRA LYNN SAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
101 LEROY BOWEN DR, LYNCHBURG, VA 24502-5093
(434) 239-6630
(434) 239-6640
Mailing address
2295 ROBERTSON RD, BEDFORD, VA 24523-5488
(540) 587-0581
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002061
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131002061
BOARD OF MEDICINE
VA
Enumeration date
12/31/2018
Last updated
12/31/2018
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