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Organization

INDEPENDENCE BY DESIGN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JENNIFER LYNN WHITAKER OTR, CAPS (OWNER)
(804) 794-1333
Entity
Organization

Contact information

Practice address
14318 DENBY TER, MIDLOTHIAN, VA 23114-4320
(804) 794-1333
(804) 379-8664
Mailing address
14318 DENBY TER, MIDLOTHIAN, VA 23114-4320
(804) 794-1333
(804) 379-8664

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001262
VA

Other

Enumeration date
06/27/2007
Last updated
08/22/2020
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