Individual
GENESIS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4100 LAFAYETTE CENTER DR STE 103, CHANTILLY, VA 20151-1234
(571) 297-0000
Mailing address
3990 BRUSSELS WAY, WOODBRIDGE, VA 22192-7637
(571) 292-6590
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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