Individual
JESSICA COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1900 HILLSMERE LN, STAUNTON, VA 24401-1796
(540) 851-0210
Mailing address
1900 HILLSMERE LN, STAUNTON, VA 24401-1796
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
0131000094
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0131000094
VA BOARD OF MEDICINE
VA
05
—
0131000094
—
VA
Enumeration date
04/20/2019
Last updated
04/20/2019
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