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Individual

JESSICA ELIZABETH PRICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
200 BERKLEY ST, ASHLAND, VA 23005-1329
(804) 365-4576
Mailing address
8202 CARDOVA RD, RICHMOND, VA 23227-1506
(804) 332-1445

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008660
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0119008660
VIRGINIA OCCUPATIONAL THERAPIST LICENSE
VA
Enumeration date
08/25/2020
Last updated
01/17/2024
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