Individual
MRS. DENISE SMITH WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 PARK WEST CIR STE 108, 108, MIDLOTHIAN, VA 23114-5552
(804) 379-9265
Mailing address
1 PARK WEST CIR STE 108, MIDLOTHIAN, VA 23114-5552
(804) 379-9265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000389
VA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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