Healthcare Provider Details

I. General information

NPI: 1750443479
Provider Name (Legal Business Name): PAIGE E. KURTZ MS, OTR, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2006
Last Update Date: 06/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7858 SHRADER RD
RICHMOND VA
23294-4222
US

IV. Provider business mailing address

7858 SHRADER RD
RICHMOND VA
23294-4222
US

V. Phone/Fax

Practice location:
  • Phone: 804-527-6835
  • Fax: 804-273-9294
Mailing address:
  • Phone: 804-527-6835
  • Fax: 804-273-9294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119004385
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: