Individual
MAYURA JAYANT RANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR BLDG 3, PORTSMOUTH, VA 23708-2111
(757) 953-5419
Mailing address
1346 CYPRESS PL, CHESAPEAKE, VA 23320-2741
(941) 718-3077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
031002149
VA
Other
Enumeration date
05/14/2019
Last updated
12/07/2024
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