Individual
MARY CHESNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SOUTH BLVD, SUITE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
(757) 490-2936
Mailing address
4560 SOUTH BLVD, SUITE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
(757) 490-2936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000580
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131000580
STATE LICENSE
VA
Enumeration date
07/01/2014
Last updated
07/01/2014
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