Individual
MRS. BROOKE GUMM NOGUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
320 W MAIN ST, COVINGTON, VA 24426-1517
(540) 962-6226
Mailing address
1610 VALLEY RIDGE RD, COVINGTON, VA 24426-6343
(540) 969-6597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005683
VA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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