Individual
EDWARD LEE DAMRATH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
6800 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 706-5648
(804) 706-4731
Mailing address
6103 BAKERS HILL PL, CHESTERFIELD, VA 23832-9204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000795
VA
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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