Individual
AMBER LACE PAREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1226 LANIER RD, MARTINSVILLE, VA 24112-5212
(276) 734-4014
Mailing address
1226 LANIER RD, MARTINSVILLE, VA 24112-5212
(276) 734-4014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002275
VA
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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