Individual
JENNIFER COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1410 N AUGUSTA ST, STAUNTON, VA 24401-2401
(540) 886-6233
Mailing address
1410 N AUGUSTA ST, STAUNTON, VA 24401-2401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001340
VA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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