Individual
AMY NICHOLE HARROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
202 PAINTER ST, GALAX, VA 24333-3830
(276) 236-5164
Mailing address
401 KINZER RD, HILLSVILLE, VA 24343-4028
(276) 236-5164
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001210
VA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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