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Kortney Nicole Puryear, COTA/L

Occupational Therapy Assistant in South Boston, VA. Individual provider (NPI-1).

NPI number1881461663
StatusActive
Last updated in NPPESDec 11, 2023

Details

NPI
1881461663
Entity type
Individual (NPI-1)
Name
Kortney Nicole Puryear
Credential
COTA/L
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2023
Certification date
Dec 11, 2023
Last updated
Dec 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant0131002587VAYes

Practice location

1100 Confroy Dr Ste 4
South Boston, VA 24592-7163

Phone 434-835-9007

Mailing address

231 Tank Rd
Nelson, VA 24580-2819

Phone 434-738-7940

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Other Occupational Therapy Assistant providers in South Boston, VA

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