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Individual

SHARON MILLER BARKSDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
9010 WOODMAN RD, HENRICO, VA 23228-2148
(804) 330-6123
(804) 330-6127
Mailing address
5009 CEDAR FORK TER, RICHMOND, VA 23223-3399

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
01310000459
VA
224Z00000X
Occupational Therapy Assistant
Primary
0310000459
VA

Other

Enumeration date
01/18/2018
Last updated
01/18/2018
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