Individual
KORTNEY NICOLE PURYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1100 CONFROY DR STE 4, SOUTH BOSTON, VA 24592-7163
(434) 835-9007
Mailing address
231 TANK RD, NELSON, VA 24580-2819
(434) 738-7940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002587
VA
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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