Mathis, Octavia Karra
Mathis, Octavia Karra is an individual health care provider with primary practice located at 192 Yellowstone Dr Apt 308, Charlottesville VA 22903-8120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Mathis, Octavia Karra can be contacted via phone (757) 404-1810.Contact Information
Primary practice address
192 Yellowstone Dr Apt 308
Charlottesville VA 22903-8120
Phone: (757) 404-1810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0126002205 | Virginia |
Profile Details
| NPI number | 1548650252 |
|---|---|
| LBN Legal business name | Mathis, Octavia Karra |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2015 |
| Last updated | Feb 2nd, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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