Individual
KELCIE RICHBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
729 THIMBLE SHOALS BLVD STE 5-C1, NEWPORT NEWS, VA 23606-4217
(757) 863-9183
Mailing address
1706 TODDS LN # 236, HAMPTON, VA 23666-3123
(757) 863-9183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007169
VA
Other
Enumeration date
06/20/2019
Last updated
11/03/2023
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