CASEY DURHAM

FISHERSVILLE, VA
NPI1053710749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131001320)
Enumeration Date2014-08-19
Last Update Date2014-08-19
Business Address
-- CASEY DURHAM COTA/L
83 CROSSROADS LN
FISHERSVILLE, VA 22939
Phone number: 575-590-5870
Mailing Address
-- CASEY DURHAM COTA/L
304 TEXAS LN
GOSHEN, VA 24439-2517
Phone number: 575-590-5870