Individual
KIMBERLY GAIL MEGENITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 CEDAR RD, CHESAPEAKE, VA 23322-5514
(757) 547-0153
Mailing address
1737 BRIGANDS WAY, VIRGINIA BEACH, VA 23453-2895
(757) 343-4370
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119002978
VA
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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