Individual
MRS. CAROLE ROBERTSON HALSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11346 OTTER RUN DR, ASHLAND, VA 23005-7546
(804) 798-4094
Mailing address
11346 OTTER RUN DR, ASHLAND, VA 23005-7546
(804) 798-4094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000539
VA
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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