Individual
GERMAINE LARGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2554 WINIFRED DR SW, ROANOKE, VA 24018-2508
(540) 520-7529
Mailing address
2554 WINIFRED DR SW, ROANOKE, VA 24018-2508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006254
VA
225X00000X
Occupational Therapist
Primary
324628
OR
225X00000X
Occupational Therapist
OT16718
FL
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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