IndividualActive
Alicia Willis, LCOTA
NPI 1811212095 · Occupational Therapy Assistant · Mechanicsville, VA
Provider details
- NPI number
- 1811212095
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LCOTA
- Sex
- Female
- Sole proprietor
- No
- License
- 0131000307 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8254 Atlee Rd
Mechanicsville, VA 23116-1844
Phone: (804) 342-4358
Fax: (804) 342-4316
Approximate (ZIP-level) locationGet directions
Mailing address
8254 Atlee Rd
Mechanicsville, VA 23116-1844
Registry dates
- Enumerated
- 2010-03-31
- Last updated
- 2010-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.