Individual
CHARLENE DISMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2448 SHIPYARD RD, CHESAPEAKE, VA 23323-3905
(757) 558-5356
Mailing address
504 MCKINZIE CT, CHESAPEAKE, VA 23320-3280
(757) 513-8978
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119005382
VA
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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