Individual
DEBORAH ANN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(419) 989-9356
(434) 979-8536
Mailing address
1102 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(419) 989-9356
(434) 979-8536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3948
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119006111
STATE LICENSE
VA
Enumeration date
07/24/2012
Last updated
08/22/2016
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