Individual
MRS. ANTIONETTE ELLA BOOKER CECIL KAMAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
803 S MAIN ST, WOODSTOCK, VA 22664-1125
(540) 459-5676
Mailing address
803 S MAIN ST, WOODSTOCK, VA 22664-1125
(540) 459-5676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001316
VA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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