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

TERESA MAE WILLIS, COTA/L

Active Sole Proprietor

TERESA MAE WILLIS, COTA/L is a Occupational Therapy Assistant healthcare provider located in LINDEN, Virginia. NPI 1952660805 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LINDEN, VA

Registration Details

NPI Number
1952660805
Provider Type
Individual
Gender
Female
NPI Issued
May 14, 2012 (14.263010472408 yrs)
Last Updated
May 14, 2012
License
0131000537 (VA)
Sole Proprietor
Yes

Practice Information

Address
881 BIFROST WAY
LINDEN, VA, 226425931
Browse VA providers · Browse ZIP 22642
Phone
4802912380
Primary Specialty
Occupational Therapy Assistant
224Z00000X
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.