Individual
MS. MICHAL KITTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L-APPLICANT
Contact information
Practice address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 319-4142
Mailing address
1049 TIVOLI CRES APT 205, VIRGINIA BEACH, VA 23453-2336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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