NPI 1063220051

Ava Buracker, COTAL

Practitioner Occupational Therapy Assistant Newport News, VA

Practice location

Address: 823 Greenwich Ln, Newport News, VA 23601-1413
Phone: (757) 817-9927

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 471539 (VA)

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Registry record

NPI: 1063220051
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2024
Record last updated: 21 Dec 2024

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.