Individual
CALEB JOEL MAENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT-ASSISTANT
Contact information
Practice address
4840 WALLER RD STE 200, RICHMOND, VA 23230-2912
(804) 893-5010
Mailing address
4840 WALLER RD STE 200, RICHMOND, VA 23230-2912
(804) 893-5010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002475
VA
Other
Enumeration date
09/12/2019
Last updated
06/17/2023
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