MISS Kiara De'lane Screen, COTA
NPI #1760956155 in South Boston, Virginia
Provider Information
- NPI Number
- 1760956155
- Entity Type
- Individual
- Name
- MISS Kiara De'lane Screen, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jan 18, 2019
- Last Updated
- Jan 18, 2019
Practice Location
- Address
- 103 ROSEHILL DR
- City
- South Boston
- State
- Virginia
- ZIP Code
- 24592-4843
- Phone
- (434) 517-7527
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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| Kelly Henderson |
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