Individual
MISS CELESTE KEARRA BATTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10300 THREE CHOPT RD, HENRICO, VA 23233-2070
(804) 708-7041
Mailing address
5508 YATES LN, RICHMOND, VA 23223-5909
(804) 252-6841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002618
VA
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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