Individual
HOLLY JEAN CHAREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4840 WALLER RD, SUITE 200, RICHMOND, VA 23230-2912
(804) 893-5010
Mailing address
4840 WALLER RD, SUITE 200, RICHMOND, VA 23230-2912
(804) 893-5010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
013000450
VA
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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