Individual
SONDRA ALICIA MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
694 WARD BRANCH ROAD, RURAL RETREAT, VA 24368
(276) 613-2612
Mailing address
694 WARD BRANCH ROAD, RURAL RETREAT, VA 24368
(276) 613-2612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
013001189
VA
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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