Individual
LAURIE NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4403 FOREST HILL AVE, RICHMOND, VA 23225-3241
(804) 309-3790
Mailing address
4403 FOREST HILL AVE, RICHMOND, VA 23225-3241
(804) 309-3790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000153
VA
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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