Individual
MISS KATELYN SARA PRENCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
6410 COURTS DR, PRINCE GEORGE, VA 23875-2562
(804) 733-2700
Mailing address
7201 TOPSHAM RD, RICHMOND, VA 23228-2651
(267) 546-7855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008636
VA
225X00000X
Occupational Therapist
OC014909
PA
Other
Enumeration date
08/27/2017
Last updated
11/09/2021
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