Individual
MRS. BROOKE GLASSCOCK DIMAIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
201 EPPES ST, HOPEWELL, VA 23860-2717
(804) 452-3102
Mailing address
201 EPPES ST, HOPEWELL, VA 23860-2717
(804) 452-3102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005086
VA
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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