Individual
KRISTINE ELIZABETH LUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6443 COTTON HILL RD, ROANOKE, VA 24018-6911
(863) 370-4122
Mailing address
6443 COTTON HILL RD, ROANOKE, VA 24018-6911
(863) 370-4122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000312
VA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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