Individual
JORDAN MARIE ACEVEDO ASBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., COTA/L
Contact information
Practice address
4668 PEMBROKE BLVD STE 112, VIRGINIA BEACH, VA 23455-6423
(757) 663-7690
Mailing address
4668 PEMBROKE BLVD STE 112, VIRGINIA BEACH, VA 23455-6423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002803
VA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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