Individual
MRS. CORETTA EASLEY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
625 PINEY FOREST RD STE 407, DANVILLE, VA 24540-2870
(434) 799-7732
Mailing address
1033 E OAK HILL DR, HALIFAX, VA 24558-3025
(434) 579-9390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001952
VA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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