Individual
AMY HAYMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 FRANKLIN TPKE, DANVILLE, VA 24540-5264
(434) 836-0239
Mailing address
PO BOX 4018, DANVILLE, VA 24540-0101
(434) 836-0239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003075
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192928
ANTHEM BLUE CROSS
VA
Enumeration date
08/30/2006
Last updated
07/08/2007
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