Individual
BARON GRAY GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1150 MARSH STREET, TAPPAHANNOCK, VA 22560
(804) 443-4308
Mailing address
3996 IRON BRIDGE RD, LAWRENCEVILLE, VA 23868-3709
(434) 594-5923
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
0119006849
VA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119006849
VA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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