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Individual

MICHELLE LEIGH SOWDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1053 COUNTY LINE RD, BASSETT, VA 24055-5147
(276) 618-1031
Mailing address
PO BOX 825, FIELDALE, VA 24089-0825
(276) 618-1031

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000476
VA

Other

Enumeration date
02/18/2010
Last updated
02/18/2010
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