Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 0119001039 | VA |
NPI | 1649582024 |
---|---|
Provider Name | Ms. Catherine Clark D'auria |
First Address | Charlottesville, VA 22901-1682 |
Second Address | Charlottesville, VA 22901-1682 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 13/07/2010 |