Individual
MRS. JAMIE D THUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
(757) 473-3580
Mailing address
1282 MEADOW LAKE RD, VIRGINIA BEACH, VA 23454-2123
(757) 496-5644
(757) 473-3580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119001184
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841271830
—
VA
Enumeration date
08/23/2013
Last updated
08/23/2013
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