Individual
VIANN ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
12273 WILMA WAY, KING GEORGE, VA 22485-4349
(540) 845-7632
Mailing address
12273 WILMA WAY, KING GEORGE, VA 22485-4349
(540) 845-7632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000496
VA
Other
Enumeration date
10/03/2015
Last updated
10/03/2015
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