Individual
MRS. JENA GROSS NORTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, BCN, SIPT
Contact information
Practice address
4840 WALLER RD, SUITE 200, RICHMOND, VA 23230-2912
(804) 893-5010
(804) 412-8105
Mailing address
4840 WALLER RD, SUITE 200, RICHMOND, VA 23230-2912
(804) 893-5010
(804) 412-8105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001176
VA
Other
Enumeration date
05/15/2009
Last updated
01/10/2016
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