Individual
JENNIFER ROYSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 MARHILL DR, RIDGEWAY, VA 24148-3122
(276) 340-4780
Mailing address
407 MARHILL DR, RIDGEWAY, VA 24148-3122
(276) 340-4780
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000662
VA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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