Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0119001695 | VA |
NPI | 1083045405 |
---|---|
Provider Name | Joyce Campbell Wriston |
First Address | Richmond, VA 23229 |
Second Address | Richmond, VA 23229 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2013 |
Last Update Date | 11/12/2013 |