Individual
MRS. MECHELLE ANNTIONETTE GREELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7501 HERITAGE VILLAGE PLAZA, GAINESVILLE, VA 20155
(571) 248-6100
Mailing address
7714 MOVERN LANE, WARRENTON, VA 20187
(703) 987-7923
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000379
VA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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