Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0119001620 | VA |
NPI | 1003943648 |
---|---|
Provider Name | Ms. Debra M Strickland |
First Address | Chesterfield, VA 23832-6657 |
Second Address | Chesterfield, VA 23832-6657 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 09/07/2007 |