Vickie Bishop, OTR

Individual provider Active NPI Occupational Therapist · Urbanna, VA

NPI 1528190857 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1528190857
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0119003406 (VA)
Practice address
5372B Old Virginia Street
Urbanna, VA 23175
Phone
(804) 758-5250
Fax
(804) 758-5183
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0119003406VAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119003406 VA Yes

Addresses

Primary practice location

5372B Old Virginia Street
Urbanna, VA 23175

Mailing address

103 Cold Cheer Point Dr
Tappahannock, VA 22560-5065
Phone (804) 445-9118

Other providers in Urbanna, VA

All providers in Urbanna, VA · Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.