Individual
MRS. DELOIS L DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4225 SHORE DRIVE, VIRGINIA BEACH, VA 23455
(757) 460-8868
Mailing address
4612 DRUM POINT LANE, CHESAPEAKE, VA 23321
(757) 621-0946
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000233
VA
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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