Individual
MRS. JENNIFER ANN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
3772 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-3414
(757) 340-0556
(757) 340-1299
Mailing address
3772 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-3414
(757) 340-0556
(757) 340-1299
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003421
VA
225XH1200X
Hand Occupational Therapist
0119003421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119003421
VA STATE LICENSE
—
Enumeration date
09/03/2009
Last updated
03/17/2018
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