TAMMY ANN BRALLEY

BRISTOL, VA
NPI1801347018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131000010)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: TN  OTA0000001918)
Enumeration Date2016-10-23
Last Update Date2016-10-23
Business Address
-- TAMMY ANN BRALLEY COTA/L
245 NORTH ST
BRISTOL, VA 24201-3274
Phone number: 276-669-4711
Mailing Address
-- TAMMY ANN BRALLEY COTA/L
18394 REPASS ST
ABINGDON, VA 24210-8054
Phone number: