Individual
AMY RENEE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4225 SHORE DR, VIRGINIA BEACH, VA 23455-2870
(757) 460-8868
Mailing address
625 PINTAIL LN, CHESAPEAKE, VA 23323-4017
(757) 487-5325
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001033
VA
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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