Individual
LORETTA YOUNG PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5306 PETERS CREEK RD, ROANOKE, VA 24019-3850
(540) 362-7578
Mailing address
1816 TEMPLE DRIVE, VINTON, VA 24179-2361
(540) 890-2806
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003862
VA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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