Sandra Mae Chirico, MS, OTR/L

Individual provider Active NPI Occupational Therapist · Palmyra, VA

NPI 1720380306 · NPPES record last updated Dec 2, 2010

Key facts

NPI
1720380306
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0119003209 (VA)
Practice address
473 Jefferson Drive West
Palmyra, VA 22963
Phone
(434) 589-6261
NPI assigned
Dec 2, 2010
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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0119003209VAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119003209 VA Yes

Addresses

Primary practice location

473 Jefferson Drive West
Palmyra, VA 22963

Mailing address

473 Jefferson Drive West
Palmyra, VA 22963
Phone (434) 589-6261

Other providers in Palmyra, VA

All providers in Palmyra, VA · Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.