NPI 1003155698

Phillip Anthony House, COTAL

Practitioner Occupational Therapy Assistant Roanoke, VA

Practice location

Address: 3585 Bramleton, Roanoke, VA 24018-2840
Phone: (540) 776-1029

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 0131000112 (VA)

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Registry record

NPI: 1003155698
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2013
Record last updated: 10 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.