STACY LYNN CARROLL

HENRICO, VA
NPI1326603648
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131001824)
Enumeration Date2019-05-02
Last Update Date2019-05-02
Business Address
STACY LYNN CARROLL COTA
8320 BUFFIN RD
HENRICO, VA 23231-7438
Phone number: 804-795-7020
Mailing Address
STACY LYNN CARROLL COTA
7311 BARKBRIDGE RD
CHESTERFIELD, VA 23832-8284
Phone number: 804-437-4443
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