Individual
KIA H SYMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4009 FITZHUGH AVE, SUITE 200, RICHMOND, VA 23230-3953
(804) 447-5240
(804) 447-5241
Mailing address
4009 FITZHUGH AVE, SUITE 200, RICHMOND, VA 23230-3953
(804) 447-5240
(804) 447-5241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2202003302
VA
235Z00000X
Speech-Language Pathologist
Primary
2202003302
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679714596
—
VA
Enumeration date
03/24/2009
Last updated
08/11/2009
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