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Individual

STEPHANIE VICTORIA PARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
637 KINGSBOROUGH SQ STE A, CHESAPEAKE, VA 23320-4944
(757) 698-4681
Mailing address
4100 CLARENDON WAY, VIRGINIA BEACH, VA 23456-1655
(757) 374-5368

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119009758
VA

Other

Enumeration date
02/28/2023
Last updated
02/28/2023
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