Individual
CARRIE ILENE LEWIS-RAHHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
54 MIZZEN CIR, HAMPTON, VA 23664-1780
(757) 236-3451
Mailing address
54 MIZZEN CIR, HAMPTON, VA 23664-1780
(757) 236-3451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001123
VA
224Z00000X
Occupational Therapy Assistant
Primary
A02348
MD
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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