Individual
TERESA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3221 PEOPLES DR STE 110, HARRISONBURG, VA 22801-7622
(540) 638-2478
(540) 908-4801
Mailing address
3221 PEOPLES DR STE 110, HARRISONBURG, VA 22801-7622
(540) 638-2478
(540) 908-4801
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006666
VA
Other
Enumeration date
07/02/2015
Last updated
07/06/2015
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