Individual
REBEKAH FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VANTAGE DR, POQUOSON, VA 23662-1400
(757) 868-9969
Mailing address
841A POQUOSON AVE, POQUOSON, VA 23662-1700
(757) 218-1841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001161
VA
224Z00000X
Occupational Therapy Assistant
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—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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