Individual
MARIA DOLORES HINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 LIBERTY ST, CHESAPEAKE, VA 23324-3527
(757) 494-7600
Mailing address
417 DOWNING DR, CHESAPEAKE, VA 23322-8708
(757) 559-5003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000905
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119000905
BOARD OF MEDICINE
VA
Enumeration date
04/25/2018
Last updated
04/25/2018
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