Individual
MS. EILEEN JOHNSON HUME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
19600 DERBY CT, CORNELIUS, NC 28031-9219
(440) 666-9744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007575
VA
225X00000X
Occupational Therapist
7951
NC
225X00000X
Occupational Therapist
OT002496
OH
Other
Enumeration date
04/02/2007
Last updated
11/22/2024
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