Individual
TONIA JEAN FARRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
85 MARS DR, AXTON, VA 24054-3571
(276) 229-9404
Mailing address
85 MARS DR, AXTON, VA 24054-3571
(276) 229-9404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000516
VA
Other
Enumeration date
10/18/2009
Last updated
10/18/2009
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