Provider Demographics
NPI:1922347509
Name:BELL, TAMMY DENISE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:DENISE
Last Name:BELL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 EDMONDS RD
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-3970
Mailing Address - Country:US
Mailing Address - Phone:276-236-2000
Mailing Address - Fax:
Practice Address - Street 1:825 EDMONDS RD
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-3970
Practice Address - Country:US
Practice Address - Phone:276-236-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-02
Last Update Date:2013-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131000805224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant