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Individual

MR. LUIZ PENALVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI

Contact information

Practice address
1051 VILLAGE HWY, UNIT J, RUSTBURG, VA 24588-3800
(434) 332-4240
Mailing address
1051 VILLAGE HWY, UNIT J, RUSTBURG, VA 24588-3800
(434) 332-4240

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
07/18/2007
Last updated
07/18/2007
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