Individual
MARY GRACE DAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 N 2ND ST, BRIDGEWATER, VA 22812-1712
(540) 828-2550
Mailing address
302 N 2ND ST, BRIDGEWATER, VA 22812-1712
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001843
VA
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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