Mary Virginia Falls, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Buchanan, VA

NPI 1922385244 · NPPES record last updated Nov 15, 2011

Key facts

NPI
1922385244
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
0131000893 (VA)
Practice address
325 Rice Rd
Buchanan, VA 24066-5415
Phone
(540) 254-2419
NPI assigned
Nov 15, 2011
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

LicenseStateTypeSpecialty
0131000893VAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 0131000893 VA Yes

Addresses

Primary practice location

325 Rice Rd
Buchanan, VA 24066-5415

Mailing address

325 Rice Rd
Buchanan, VA 24066-5415
Phone (540) 254-2419

Other providers in Buchanan, VA

All providers in Buchanan, VA · Occupational Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.