Tammy Ann Bralley, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Bristol, VA
NPI 1801347018 · NPPES record last updated Oct 23, 2016
Key facts
- NPI
- 1801347018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 0131000010 (VA)
- Practice address
- 245 North St
Bristol, VA 24201-3274 - Phone
- (276) 669-4711
- NPI assigned
- Oct 23, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA0000001918 | TN | MD | Occupational Therapy Assistant |
| 0131000010 | VA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131000010 | VA | Yes |
| Occupational Therapy Assistant | 224Z00000X | OTA0000001918 | TN |
Addresses
Primary practice location
245 North St
Bristol, VA 24201-3274
Mailing address
18394 Repass St
Abingdon, VA 24210-8054
Other providers in Bristol, VA
- Donna Elaine Boggs
- Lisa Bourne
- Alexandra Marrs Bowling
- Caleb Aaron Boyd
- Kathryn Kellie Boyd
- Stephanie Branham
- Ronald Woodrow Brill II
- Bristol Home Health Services, Inc.
- Bristol Laboratories, LLC
- Bristol Life Saving Crew Inc.
All providers in Bristol, 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 Oct 23, 2016. 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.