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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DANE MATTHEW GRAVELY, PTA

Active Sole Proprietor

MR. DANE MATTHEW GRAVELY, PTA is a Occupational Therapist healthcare provider located in BASSETT, Virginia. NPI 1255770640 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BASSETT, VA

Registration Details

NPI Number
1255770640
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2013 (13.126473256887 yrs)
Last Updated
Jun 18, 2013
License
2306000674 (VA)
Sole Proprietor
Yes

Practice Information

Address
1880 COLUMBUS DR
BASSETT, VA, 240555389
Browse VA providers · Browse ZIP 24055
Phone
2766294279
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in BASSETT, VA

Name Credential NPI
KIMBERLY DAWN EDWARDS LPTA 1851623045
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.