Individual
INDIA BROOKE KAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
132 N MAIN STREET, STUART, VA 24171
(276) 694-3163
Mailing address
198 RYE COVE CREEK RD, STUART, VA 24171-3518
(276) 229-8693
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002804
VA
224Z00000X
Occupational Therapy Assistant
15521
NC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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