Individual
WHITNEY RENAE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1005 HAMPTON BLVD, NORFOLK, VA 23507-1505
(757) 623-5602
Mailing address
508 PRINCE CT, SUFFOLK, VA 23434-6005
(757) 621-8300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000363
VA
224Z00000X
Occupational Therapy Assistant
0131000363
—
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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