Individual
VALERIE LYNNE PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3000 NORTHWOODS PKWY, SUITE 105, NORCROSS, GA 30071-4708
(866) 518-1750
Mailing address
3919 ROUTE 899, MARIENVILLE, PA 16239-3625
(814) 282-6106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007001
PA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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