Organization
OCCUPATIONAL TRANSITIONS, LLC
Active
Parent organization
OCCUPATIONAL TRANSITIONS, LLC
Other names
Exceptional Bright Beginnings
Organization subpart
Yes
Provider details
NPI number
Legal business name
OCCUPATIONAL TRANSITIONS, LLC
Authorized official
LA' SHANDRA RUSSELL OTR/L (OWNER/LEAD OCCUPATIONAL THERAPIST)
(401) 326-4739
Entity
Organization
Contact information
Practice address
15 ELM ST, STAFFORD, VA 22554-1607
(401) 326-4739
Mailing address
15 ELM ST, STAFFORD, VA 22554-1607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962039131
—
VA
Enumeration date
09/22/2020
Last updated
09/22/2020
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