Individual
STUART LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1220 CROZET AVE, CROZET, VA 22932-3163
(434) 823-4307
Mailing address
40 S BROOK AVE, HARRISONBURG, VA 22801-1903
(571) 594-1948
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008694
VA
Other
Enumeration date
10/18/2020
Last updated
10/18/2020
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