Individual
MRS. LAURIE ANN BREEDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
140 BUCK DR, RUCKERSVILLE, VA 22968-3157
(434) 990-0192
Mailing address
140 BUCK DR, RUCKERSVILLE, VA 22968-3157
(434) 990-0192
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001952
VA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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