Individual
JAMIE CRISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1400 FORDHAM DRIVE, VIRGINIA BEACH, VA 23464
(757) 361-3954
Mailing address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119-007482
VA
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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