Individual
ALETHA NORA FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1250 BRANCHLANDS DR, CHARLOTTESVILLE, VA 22901-1703
(434) 973-0311
Mailing address
134 BEVERLY RD, ASHLAND, VA 23005-1804
(804) 938-2856
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002646
VA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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