Provider Demographics
NPI:1497710297
Name:KNOX, VIRGINIA CATHERINE (OTR)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:CATHERINE
Last Name:KNOX
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 INCARNATION DR
Mailing Address - Street 2:ATLANTIC SPORTS AND REHAB STE 101
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901
Mailing Address - Country:US
Mailing Address - Phone:434-978-4915
Mailing Address - Fax:434-978-7194
Practice Address - Street 1:1410 INCARNATION DR
Practice Address - Street 2:ATLANTIC SPORTS AND REHAB STE 101
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901
Practice Address - Country:US
Practice Address - Phone:434-978-4915
Practice Address - Fax:434-978-7194
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004216225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
496631Medicare ID - Type Unspecified