Individual
MR. JOSE' M VIVALDI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L, MBA
Contact information
Practice address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4321
(804) 342-4310
Mailing address
8254 ATLEE RD, MECHANICSVILLE, VA 23116-1844
(804) 342-4321
(804) 342-4310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001870
VA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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