Individual
TAKAYA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 RICHMOND HWY UNIT 1506, RICHMOND, VA 23224-6624
(804) 806-1088
Mailing address
1100 RICHMOND HWY UNIT 1506, RICHMOND, VA 23224-6624
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002535
VA
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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