Individual
THERESA CLARE VON TERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3954
Mailing address
2812 WIIGWAAS LN, VIRGINIA BEACH, VA 23451-4058
(757) 650-6636
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119005562
VA
Other
Enumeration date
06/13/2013
Last updated
07/29/2013
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