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1225870777
ASHLEY PRUETT
ROANOKE, VA
NPI
1225870777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131002757)
Enumeration Date
2024-06-06
Last Update Date
2024-06-06
Business Address
ASHLEY PRUETT COTA/L
4335 BRAMBLETON AVE
ROANOKE, VA 24018-3404
Phone number: 540-315-3210
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Mailing Address
ASHLEY PRUETT COTA/L
747 WAYLAND ST NE
ROANOKE, VA 24012-8222
Phone number: 540-420-0308
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