Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology |
NPI | 1750931911 |
---|---|
Provider Name | Mrs. Mary Hughes Oley |
First Address | Midlothian, VA 23112-4932 |
Second Address | Mechanicsville, VA 23116-3868 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2019 |
Last Update Date | 18/09/2019 |