Individual
JENICA JOYCE CHEKOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA-L
Contact information
Practice address
1739 KIRBY RD, MC LEAN, VA 22101-4817
(703) 506-6900
Mailing address
420 WHARTON CIR APT 303, WINCHESTER, VA 22601-6609
(414) 416-7065
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001872
VA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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