Individual
CHRISTIE DENEISE HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L, BA
Contact information
Practice address
700 RANDOLPH ST, RADFORD, VA 24141-2430
(540) 633-3708
Mailing address
1420 MILL IRON RD, GOODVIEW, VA 24095-2940
(540) 355-8909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000398
VA
224Z00000X
Occupational Therapy Assistant
1067502
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131000398
VIRGINIA BOARD OF MEDICINE
VA
Enumeration date
08/20/2007
Last updated
12/03/2020
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