Individual
MRS. DONNA WYCHE MASHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4671 FOUR SEASONS TER, UNIT D, GLEN ALLEN, VA 23060-9204
(804) 677-9226
Mailing address
4671 FOUR SEASONS TER, UNIT D, GLEN ALLEN, VA 23060-9204
(804) 677-9226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0131000412
VA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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