Individual
CORA H CREASEY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
287 LEARNING LN, MADISON HEIGHTS, VA 24572-2326
(434) 846-2151
Mailing address
153 WASHINGTON STREET, AMHERST, VA 24521
(434) 946-9386
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002597
VA
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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