Individual
DIERRA CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
713 BROADLEAF XING, CHESAPEAKE, VA 23320-9206
(757) 277-2040
Mailing address
713 BROADLEAF XING, CHESAPEAKE, VA 23320-9206
(757) 277-2040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005925
VA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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