Individual
AUTUMN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
34 ARCHERY LANE, ELK CREEK, VA 24326
(276) 768-8631
Mailing address
34 ARCHERY LANE, ELK CREEK, VA 24326
(276) 768-8631
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009847
VA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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