Individual
BIANCA ALLEGRA DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5301 PROVIDENCE RD STE 80, VIRGINIA BEACH, VA 23464-4128
(757) 467-4604
(757) 467-2716
Mailing address
4668 PEMBROKE BLVD STE 115, VIRGINIA BEACH, VA 23455-6423
(757) 648-8562
(757) 648-8564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007497
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119007497
STATE LICENSE
VA
Enumeration date
10/12/2017
Last updated
10/12/2017
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