Individual
ANGIE RAE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
30 MONTVUE DR, LURAY, VA 22835-1057
(540) 743-4571
Mailing address
248 RINACA LN, SHENANDOAH, VA 22849-3655
(717) 404-0057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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