Individual
MRS. KACIE DEMETROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
121 OLD WAGON RD, WINCHESTER, VA 22602-6912
(607) 846-5343
Mailing address
121 OLD WAGON RD, WINCHESTER, VA 22602-6912
(607) 846-5343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004590
VA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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