Individual
MEGHAN MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
906 THOMPSON ST, ASHLAND, VA 23005-1128
(804) 798-3291
Mailing address
906 THOMPSON ST, ASHLAND, VA 23005-1128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001312
VA
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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