Individual
ANDREA M BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3800 POPLAR HILL RD STE B, CHESAPEAKE, VA 23321-5522
(757) 776-3088
Mailing address
5536 OLD PROVIDENCE RD, VIRGINIA BEACH, VA 23464-4078
(330) 780-5353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0121002728
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121002728
BOARD OF MEDICINE LICENSE NUMBER
VA
Enumeration date
02/27/2023
Last updated
02/27/2023
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