Individual
COURTNEY MADISON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 WALLER RD, RICHMOND, VA 23230-2912
(804) 893-5010
Mailing address
3046 DAVIS MILL RD, GOOCHLAND, VA 23063-2734
(804) 840-0446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002391
VA
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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