Individual
MRS. JENNIFER AEMELIA GURD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1309 KEMPSVILLE RD, NORFOLK, VA 23502-2205
(757) 461-5001
(757) 321-4829
Mailing address
332 NOTTINGHAM DR, CHESAPEAKE, VA 23322-5332
(757) 382-9531
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1020202
VA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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