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Individual

TODD A KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.T.

Contact information

Practice address
204 S MAPLE ST, VINTON, VA 24179-2522
(540) 266-6950
(540) 343-3982
Mailing address
2255 COUNTRYSIDE RD NW, ROANOKE, VA 24017-1324

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-002717
VA

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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