IndividualActive
Phyllis Dishner, COTA/L
NPI 1689185969 · Occupational Therapy Assistant · Wise, VA
Provider details
- NPI number
- 1689185969
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 0131000931 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
628 Lake St Ne
Wise, VA 24293-7919
Phone: (276) 275-1500
Approximate (ZIP-level) locationGet directions
Mailing address
518 Powell Ave E
Big Stone Gap, VA 24219-2346
Registry dates
- Enumerated
- 2017-10-13
- Last updated
- 2017-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.