Angela Gunter
Individual provider Active NPI Occupational Therapy Assistant · Evington, VA
NPI 1043693476 · NPPES record last updated Jul 2, 2015
Key facts
- NPI
- 1043693476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131001132 (VA)
- Practice address
- 1089 Two Bid Rd
Evington, VA 24550-2484 - Phone
- (434) 251-3540
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0131001132 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131001132 | VA | Yes |
Addresses
Primary practice location
1089 Two Bid Rd
Evington, VA 24550-2484
Mailing address
1089 Two Bid Rd
Evington, VA 24550-2484
Phone (434) 251-3540
Other providers in Evington, VA
- Tracey Ballagh
- Lucy Buckley
- Jeremy Medlin Funderburk Sr.
- Robert Lee Gilbert II
- Julie Gordon
- Johnson Group Home, L L C
- Legacy Residential Services LLC
- Deborah McDaniel
- Lisa Almond Owens
- Kevin Ramsey
All providers in Evington, VA · Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.