Individual
ELIZABETH J MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
320 W MAIN ST, COVINGTON, VA 24426-1517
(540) 962-6226
(540) 962-7447
Mailing address
PO BOX 136, COVINGTON, VA 24426-0136
(540) 962-6226
(540) 962-7447
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002847
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195326
ANTHEM PROVIDER NUMBER
VA
01
—
6700001706
RAILROAD MEDICARE PROV NU
VA
Enumeration date
07/01/2005
Last updated
07/09/2007
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