Individual
MISS KIARA DE'LANE SCREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(434) 517-7527
Mailing address
4121 RIVER RD, SOUTH BOSTON, VA 24592-6017
(434) 222-8023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001261
VA
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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