MRS. Joanne Custer Vansiclen I, C.O.T.A.L.

NPI #1285973503 in Staunton, Virginia

Provider Information

NPI Number
1285973503
Entity Type
Individual
Name
MRS. Joanne Custer Vansiclen I, C.O.T.A.L.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
C.O.T.A.L.
Enumeration Date
Feb 6, 2013
Last Updated
Feb 6, 2013

Practice Location

Address
526 PLEASANT VIEW RD
ZIP Code
24401-6449
Phone
(504) 885-2696

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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