TRACY LAWAND KELSO

ROANOKE, VA
NPI1174642409
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  1056802)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
TRACY LAWAND KELSO COTA
1127 PERSINGER RD SW
ROANOKE, VA 24015-3829
Phone number: 540-343-1696
Mailing Address
TRACY LAWAND KELSO COTA
4951 POMEROY RD NW
ROANOKE, VA 24017-4627
Phone number: 540-793-1153